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General NPI Number Information
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NPI Number | 1770717993
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Entity Type | Organization
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Legal Business Name | PRIMACARE PLUS PHARMACY INC.
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 3703 MAIN ST 1ST FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354-4106
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Country | US
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Telephone | 718-886-5683
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Fax | 718-886-5685
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Provider Business Mailing Address
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Address Line | 37-03 MAIN STREET 1ST FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WING TAK CHEUNG
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Credential |
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Telephone | 917-575-1884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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