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General NPI Number Information
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NPI Number | 1841207933
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Entity Type | Organization
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Legal Business Name | METROCARE PHARMACY, INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 2112B 36TH AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11106-4422
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Country | US
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Telephone | 718-606-0068
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Fax | 718-606-0069
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Provider Business Mailing Address
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Address Line | 2112B 36TH AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11106-4422
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Country | US
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Telephone | 718-606-0068
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Fax | 718-606-0069
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | MS. TU TRINH TRIEU
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Credential | RPH.
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Telephone | 646-267-8479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 027405
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License Number State | NY
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