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General NPI Number Information
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NPI Number | 1801341045
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Entity Type | Organization
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Legal Business Name | MEGA AID PHARMACY II, INC.
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 140 58TH ST BLDG B
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City | BROOKLYN
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State | NY
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Zip | 11220-2521
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Country | US
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Telephone | 212-920-4500
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Fax | 718-744-2724
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Provider Business Mailing Address
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Address Line | 140 58TH ST STE 8G
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City | BROOKLYN
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State | NY
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Zip | 11220-2522
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Country | US
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Telephone | 212-920-4500
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Fax | 718-744-2724
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Authorized Official
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Title or Position | OWNER
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Name | TATYANA GERMAN
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Credential |
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Telephone | 718-333-9133
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 034785
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License Number State | NY
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