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General NPI Number Information
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NPI Number | 1851783963
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Entity Type | Organization
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Legal Business Name | LENOX TERRACE DRUGS
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 20 W 135TH ST
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City | NEW YORK
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State | NY
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Zip | 10037-2534
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Country | US
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Telephone | 212-234-2050
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Fax | 212-234-3970
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Provider Business Mailing Address
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Address Line | 20 W 135TH ST
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City | NEW YORK
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State | NY
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Zip | 10037-2534
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Country | US
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Telephone | 212-234-2050
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Fax | 212-234-3970
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MR. ABDUL QURESHI
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Credential |
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Telephone | 212-234-2050
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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 | I058107
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License Number State | NY
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