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General NPI Number Information
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NPI Number | 1841754769
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Entity Type | Organization
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Legal Business Name | REFRESH PHARMACY USA LLC
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 4820 W TAFT RD STE 111
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City | LIVERPOOL
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State | NY
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Zip | 13088-2800
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Country | US
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Telephone | 315-468-0897
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Fax | 315-488-4789
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Provider Business Mailing Address
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Address Line | 4820 W TAFT RD STE 111
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City | LIVERPOOL
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State | NY
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Zip | 13088-2800
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Country | US
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Telephone | 315-468-0897
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Fax | 315-488-4789
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | CORY PAZCOGUIN
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Credential | PHARMD
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Telephone | 814-932-6326
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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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