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NPI 1811776875

NPI 1811776875 : HEALTH COACH PHARMACY INC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1811776875
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH COACH PHARMACY INC 
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Dates
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    Enumeration Date     |    09/27/2023
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    Last Update Date     |    06/19/2025
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Provider Practice Location Address
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    Address Line         |    159 RALPH AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11233-1531
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    Country              |    US
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    Telephone            |    718-443-0500
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    Fax                  |    347-365-7430
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Provider Business Mailing Address
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    Address Line         |    159 RALPH AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11233-1531
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    Country              |    US
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    Telephone            |    718-443-0500
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    Fax                  |    347-365-7430
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ABDUL MUHID ALI 
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    Credential           |    
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    Telephone            |    646-752-4177
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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        |    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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