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General NPI Number Information
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NPI Number | 1871696930
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Entity Type | Organization
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Legal Business Name | KINGS COURT DRUGS INC.
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 610 E 16TH ST
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City | BROOKLYN
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State | NY
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Zip | 11226-6508
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Country | US
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Telephone | 718-434-6565
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Fax | 718-434-3699
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Provider Business Mailing Address
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Address Line | 610 E 16TH ST
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City | BROOKLYN
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State | NY
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Zip | 11226
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Country | US
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Telephone | 718-434-6565
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Fax | 718-434-3699
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Authorized Official
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Title or Position | SP
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Name | MS. REGINA BELENKAYA
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Credential | RPH
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Telephone | 718-434-6565
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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 | 026708
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License Number State | NY
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