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General NPI Number Information
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NPI Number | 1851372114
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Entity Type | Organization
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Legal Business Name | SOUND SHORE PHARMACY, INC
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 12 N 7TH AVE OUT-PATIENT PHARMACY
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2026
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Country | US
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Telephone | 914-664-8000
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Fax | 914-664-0457
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Provider Business Mailing Address
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Address Line | 12 N 7TH AVE OUT-PATIENT PHARMACY
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2026
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Country | US
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Telephone | 914-371-1167
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Fax | 914-664-0457
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Authorized Official
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Title or Position | PHARMACY ADMINISTRATOR
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Name | MRS. THOMAS MAGALDI
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Credential | RPH
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Telephone | 914-365-3975
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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 | 027010
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License Number State | NY
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