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General NPI Number Information
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NPI Number | 1881007474
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Entity Type | Organization
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Legal Business Name | SARATOGA RX LLC
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 192 LYELL AVE
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City | ROCHESTER
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State | NY
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Zip | 14608-1317
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Country | US
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Telephone | 585-458-2326
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Fax | 585-458-3817
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Provider Business Mailing Address
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Address Line | 192 LYELL AVE
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City | ROCHESTER
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State | NY
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Zip | 14608
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Country | US
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Telephone | 585-458-2326
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Fax | 585-458-3817
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Authorized Official
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Title or Position | PHARMACY MANAGER/ PHARMACIST
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Name | KHALID HABIB
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Credential | RPH
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Telephone | 585-458-2326
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 032944
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License Number State | NY
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