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General NPI Number Information
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NPI Number | 1871606152
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Entity Type | Organization
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Legal Business Name | PROSCRIPT PHARMACY LLC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2556 ARTHUR KILL RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-1226
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Country | US
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Telephone | 866-646-1780
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Fax | 718-966-6410
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Provider Business Mailing Address
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Address Line | 2556 ARTHUR KILL RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-1226
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Country | US
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Telephone | 866-646-1780
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Fax | 718-966-6410
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Authorized Official
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Title or Position | VICE PRES PHARMACY SERVICES
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Name | MR. LOUIS MAGNOTTI
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Credential | PHARMACIST
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Telephone | 718-303-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 026894
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License Number State | NY
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