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General NPI Number Information
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NPI Number | 1801587993
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Entity Type | Organization
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Legal Business Name | M&A PHARMACY AND MED SUPPLIES
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 3A BOND ST
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City | GREAT NECK
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State | NY
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Zip | 11021-2408
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Country | US
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Telephone | 516-304-5893
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Fax |
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Provider Business Mailing Address
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Address Line | 3A BOND ST
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City | GREAT NECK
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State | NY
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Zip | 11021-2408
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Country | US
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Telephone | 516-304-5893
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIKHAIL PLISHTIYEV
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Credential |
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Telephone | 516-304-5893
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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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