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General NPI Number Information
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NPI Number | 1740857879
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Entity Type | Organization
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Legal Business Name | MERRICK APOTHECARY CORP.
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 09/05/2021
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Provider Practice Location Address
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Address Line | 2027 MERRICK RD
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City | MERRICK
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State | NY
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Zip | 11566-4703
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Country | US
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Telephone | 516-684-9732
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Fax | 516-684-9817
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Provider Business Mailing Address
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Address Line | 2027 MERRICK RD
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City | MERRICK
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State | NY
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Zip | 11566-4703
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Country | US
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Telephone | 516-581-1037
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN ZONE
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Credential |
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Telephone | 516-581-1037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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