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General NPI Number Information
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NPI Number | 1861909996
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Entity Type | Organization
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Legal Business Name | HEALTH MART RX CORP
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 970 N BROADWAY STE 111B
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City | YONKERS
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State | NY
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Zip | 10701-1310
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Country | US
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Telephone | 914-652-7159
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Fax | 914-652-7157
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Provider Business Mailing Address
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Address Line | 970 N BROADWAY STE 111B
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City | YONKERS
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State | NY
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Zip | 10701-1310
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Country | US
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Telephone | 914-652-7159
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Fax | 914-652-7157
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUBA ANNABI
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Credential |
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Telephone | 914-310-2485
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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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