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General NPI Number Information
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NPI Number | 1770860991
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Entity Type | Organization
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Legal Business Name | ROCKWELL COMPOUNDING ASSOCITAES, INC.
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 350 THEODORE FREMD AVE 3RD FLOOR
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City | RYE
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State | NY
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Zip | 10580-1573
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Country | US
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Telephone | 914-925-2304
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Fax | 914-925-2310
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Provider Business Mailing Address
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Address Line | 350 THEODORE FREMD AVE
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City | RYE
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State | NY
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Zip | 10580-1573
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Country | US
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Telephone | 914-925-2304
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Fax | 914-925-2310
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. STEVEN J COSENTINO
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Credential | R.PH.
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Telephone | 914-925-2304
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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 | 026458
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License Number State | NY
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