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General NPI Number Information
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NPI Number | 1851154546
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Entity Type | Organization
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Legal Business Name | BARAKAT PHARMACY INC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 03/03/2024
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Provider Practice Location Address
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Address Line | 410 JERUSALEM AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-5504
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Country | US
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Telephone | 516-452-9046
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Fax |
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Provider Business Mailing Address
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Address Line | 14 SAINT JOHNS AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-5208
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Country | US
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Telephone | 718-223-3692
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DR. SANAULLAH MEHIRDEL
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Credential | PHARM D
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Telephone | 718-223-3692
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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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