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General NPI Number Information
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NPI Number | 1760950224
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Entity Type | Organization
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Legal Business Name | BROOK PHARMACY INC
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 700 BROOK AVE
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City | BRONX
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State | NY
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Zip | 10455-1357
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Country | US
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Telephone | 347-593-0871
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Fax | 718-292-1318
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Provider Business Mailing Address
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Address Line | 700 BROOK AVE STE AE156TH
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City | BRONX
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State | NY
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Zip | 10455-1357
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Country | US
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Telephone | 718-292-1310
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Fax | 718-292-1318
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IBRAR AHMED NADEEM
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Credential |
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Telephone | 718-292-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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