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General NPI Number Information
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NPI Number | 1881763514
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Entity Type | Organization
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Legal Business Name | TODT HILL PHARMACY INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 2110G RICHMOND RD
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 718-351-7363
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Fax | 718-351-4972
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Provider Business Mailing Address
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Address Line | 2110 RICHMOND RD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-2576
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Country | US
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Telephone | 718-351-7363
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Fax | 718-351-4972
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHAIM AVULOV
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Credential |
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Telephone | 718-351-7363
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 025261
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License Number State | NY
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