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General NPI Number Information
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NPI Number | 1881530335
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Entity Type | Organization
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Legal Business Name | ELIXIR PHARMACY LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 162-20 UNION TURNPIKE STORE 102
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City | FRESH MEADOWS
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State | NY
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Zip | 11366
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Country | US
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Telephone | 718-487-3015
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Fax | 718-487-3017
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Provider Business Mailing Address
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Address Line | 162-20 UNION TURNPIKE STORE 102
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City | FRESH MEADOWS
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State | NY
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Zip | 11366
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Country | US
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Telephone | 718-487-3015
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Fax | 718-487-3017
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Authorized Official
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Title or Position | PRESIDENT/SUPERVISING PHARMACIST
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Name | ELIZABETH BOBOYEV
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Credential |
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Telephone | 718-487-3015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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