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General NPI Number Information
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NPI Number | 1750463725
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Entity Type | Organization
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Legal Business Name | RALPH PLACE PHARMACY INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11 RALPH PL SUITE 106
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4419
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Country | US
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Telephone | 718-720-9640
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Fax | 718-720-9649
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Provider Business Mailing Address
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Address Line | 11 RALPH PL SUITE 106
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4419
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Country | US
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Telephone | 718-720-9640
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Fax | 718-720-9649
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Authorized Official
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Title or Position | PRES
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Name | MR. STEVEN H BLATT
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Credential | RPH
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Telephone | 718-720-9640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 037301
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License Number State | NY
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