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General NPI Number Information
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NPI Number | 1750780987
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Entity Type | Organization
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Legal Business Name | ISABEL'S PHARMACY INC
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 338 E GUN HILL RD
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City | BRONX
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State | NY
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Zip | 10467-2208
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Country | US
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Telephone | 718-655-4005
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Fax | 718-655-4011
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Provider Business Mailing Address
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Address Line | 338 E GUN HILL RD
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City | BRONX
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State | NY
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Zip | 10467-2208
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Country | US
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Telephone | 718-655-4005
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Fax | 718-655-4011
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Authorized Official
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Title or Position | PHARMACIST
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Name | IGOR ALAYEV
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Credential | RPH
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Telephone | 718-655-4005
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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 | 032942
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License Number State | NY
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