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NPI 1750704508

NPI 1750704508 : REFILL RX PHARMACY INC : REGO PARK, NY

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General NPI Number Information
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    NPI Number           |    1750704508
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    Entity Type          |    Organization 
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    Legal Business Name  |    REFILL RX PHARMACY INC 
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Dates
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    Enumeration Date     |    01/30/2014
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    Last Update Date     |    05/08/2025
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Provider Practice Location Address
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    Address Line         |    6324 AUSTIN ST 
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    City                 |    REGO PARK
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    State                |    NY
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    Zip                  |    11374-2923
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    Country              |    US
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    Telephone            |    718-275-7948
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    Fax                  |    718-275-7947
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Provider Business Mailing Address
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    Address Line         |    6324 AUSTIN ST 
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    City                 |    REGO PARK
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    State                |    NY
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    Zip                  |    11374-2923
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    Country              |    US
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    Telephone            |    718-275-7948
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    Fax                  |    718-275-7947
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALEXANDER  SHARAFYAN 
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    Credential           |    
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    Telephone            |    718-275-7944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    032521
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    License Number State |    NY
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