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General NPI Number Information
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NPI Number | 1871581298
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Entity Type | Organization
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Legal Business Name | MIL RUE CHEMISTS INC
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 6687 FRESH POND RD
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City | RIDGEWOOD
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State | NY
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Zip | 11385-3948
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Country | US
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Telephone | 718-821-3271
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Fax | 718-386-9777
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Provider Business Mailing Address
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Address Line | 6687 FRESH POND RD
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City | RIDGEWOOD
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State | NY
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Zip | 11385-3948
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Country | US
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Telephone | 718-821-3271
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Fax | 718-386-9777
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD C PETERS
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Credential | RPH
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Telephone | 718-821-3271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 008243
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License Number State | NY
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