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General NPI Number Information
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NPI Number | 1881333870
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Entity Type | Organization
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Legal Business Name | THE APOTHECARY LAB INC
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 20 DEPOT ST UNIT 40
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City | PETERBOROUGH
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State | NH
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Zip | 03458-1453
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Country | US
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Telephone | 603-924-2994
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Fax |
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Provider Business Mailing Address
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Address Line | 20 DEPOT ST UNIT 40
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City | PETERBOROUGH
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State | NH
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Zip | 03458-1453
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Country | US
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Telephone | 603-924-2994
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. GLORIA SHKOLNIK
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Credential | RPH
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Telephone | 917-669-8791
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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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