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General NPI Number Information
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NPI Number | 1871221358
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Entity Type | Organization
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Legal Business Name | PARK RIDGE APOTHECARY INC
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 4 COULTER RD STE 1610
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1122
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Country | US
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Telephone | 315-318-0844
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Fax | 315-318-0848
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Provider Business Mailing Address
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Address Line | 4 COULTER RD STE 1610
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1122
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Country | US
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Telephone | 315-318-0844
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Fax | 315-318-0848
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Authorized Official
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Title or Position | SR PHARMACY ANALYST
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Name | RENEE PRICE
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Credential |
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Telephone | 315-318-0844
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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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