{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "DRUG USA PHARMACY",
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"FirstLineMailingAddress": "21 S MIDDLE NECK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREAT NECK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11021-3455",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "21 S MIDDLE NECK RD",
"SecondLinePracticeLocationAddress": null,
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"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-482-1055",
"PracticeLocationAddressFaxNumber": "516-482-3783",
"EnumerationDate": "09/20/2006",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIKOV",
"AuthorizedOfficialFirstName": "SHALOM",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "516-482-1055",
"Taxonomies": {
"Taxonomy": [
{
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"TaxonomyName": "Pharmacy",
"LicenseNumber": "027288",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}