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General NPI Number Information
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NPI Number | 1780089599
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Entity Type | Organization
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Legal Business Name | J A K PHARMA INC
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2343 ARTHUR AVE
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City | BRONX
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State | NY
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Zip | 10458-8111
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Country | US
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Telephone | 718-561-4040
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Fax | 718-561-5237
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Provider Business Mailing Address
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Address Line | 2343 ARTHUR AVE
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City | BRONX
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State | NY
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Zip | 10458-8111
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Country | US
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Telephone | 718-561-4040
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Fax | 718-561-5237
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Authorized Official
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Title or Position | PRESIDENT
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Name | RATHNA VEERAMACHANANI
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Credential |
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Telephone | 718-561-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 033293
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License Number State | NY
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