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General NPI Number Information
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NPI Number | 1821711128
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Entity Type | Organization
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Legal Business Name | ATRIA PHARMACY NEW YORK LLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 595 MADISON AVE FL 7
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City | NEW YORK
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State | NY
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Zip | 10022-1907
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Country | US
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Telephone | 212-540-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 595 MADISON AVE FL 7
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City | NEW YORK
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State | NY
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Zip | 10022-1907
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Country | US
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Telephone | 212-540-0870
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DANA DIMARZO
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Credential | PHARM D
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Telephone | 973-296-4211
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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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