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General NPI Number Information
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NPI Number | 1780425348
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Entity Type | Organization
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Legal Business Name | STUYTOWN RX LLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 329 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4228
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Country | US
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Telephone | 646-838-3850
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Fax | 212-208-2574
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Provider Business Mailing Address
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Address Line | 329 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4228
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Country | US
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Telephone | 646-838-3850
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Fax | 212-208-2574
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROZA YAKUBOVA
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Credential |
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Telephone | 917-605-7527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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