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General NPI Number Information
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NPI Number | 1750846226
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Entity Type | Organization
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Legal Business Name | ELEMENTS PHARMACY INC.
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 3808 UNION ST STE D2
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City | FLUSHING
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State | NY
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Zip | 11354-5544
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Country | US
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Telephone | 718-888-3366
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Fax | 718-888-2288
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Provider Business Mailing Address
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Address Line | 3808 UNION ST SUITE D2
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City | FLUSHING
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State | NY
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Zip | 11354-5544
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Country | US
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Telephone | 718-888-3366
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Fax | 718-888-2288
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUSTIN IEONG
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Credential |
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Telephone | 718-888-3366
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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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