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General NPI Number Information
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NPI Number | 1831310945
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Entity Type | Organization
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Legal Business Name | SCAREAST PHARMACY INC.
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 199 BROOK ST
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City | SCARSDALE
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State | NY
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Zip | 10583-5436
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Country | US
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Telephone | 914-725-1827
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Fax | 914-725-4047
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Provider Business Mailing Address
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Address Line | 199 BROOK ST
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City | SCARSDALE
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State | NY
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Zip | 10583-5436
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Country | US
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Telephone | 914-725-1827
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Fax | 914-725-4047
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH PAUL DIBBINI
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Credential | PHARM.D.
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Telephone | 914-725-1827
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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 | 019425
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License Number State | NY
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