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General NPI Number Information
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NPI Number | 1821729294
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Entity Type | Organization
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Legal Business Name | ORLY PHARMACY INC.
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 1401 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10075-0502
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Country | US
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Telephone | 212-260-4900
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Fax | 646-966-1282
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Provider Business Mailing Address
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Address Line | 1401 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10075-0502
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Country | US
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Telephone | 212-260-4900
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Fax | 646-966-1282
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. AZAR KAMKHEHJI
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Credential |
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Telephone | 917-887-2467
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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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