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General NPI Number Information
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NPI Number | 1790907236
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Entity Type | Organization
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Legal Business Name | ROSENKRANS PHARMACY INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 32 MAIN ST
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City | HILTON
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State | NY
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Zip | 14468
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Country | US
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Telephone | 585-392-7979
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Fax | 585-392-2256
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Provider Business Mailing Address
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Address Line | 32 MAIN ST
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City | HILTON
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State | NY
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Zip | 14468
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Country | US
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Telephone | 585-392-7979
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Fax | 585-392-2256
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | PETER J MILES
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Credential | RPH
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Telephone | 585-392-7979
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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 | 028068
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License Number State | NY
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