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General NPI Number Information
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NPI Number | 1760912760
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Entity Type | Organization
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Legal Business Name | CORNERSTONE DRUG & GIFT INC
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 72 CHAMPLAIN ST
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City | ROUSES POINT
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State | NY
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Zip | 12979-1505
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Country | US
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Telephone | 518-297-3784
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Fax | 518-297-3714
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Provider Business Mailing Address
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Address Line | 72 CHAMPLAIN ST
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City | ROUSES POINT
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State | NY
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Zip | 12979-1505
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Country | US
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Telephone | 518-297-3784
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Fax | 518-297-3714
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL ALLAN BOSLEY
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Credential | RPH
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Telephone | 518-297-3784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 027129
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License Number State | NY
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