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General NPI Number Information
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NPI Number | 1881793776
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Entity Type | Organization
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Legal Business Name | SLAVINS-HANCOCK PHARMACY, INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 922 WASHINGTON BLVD
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City | STAMFORD
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State | CT
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Zip | 06901-2204
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Country | US
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Telephone | 203-323-2161
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Fax | 203-964-1913
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Provider Business Mailing Address
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Address Line | 922 WASHINGTON BLVD
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City | STAMFORD
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State | CT
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Zip | 06901-2204
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Country | US
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Telephone | 203-323-2161
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Fax | 203-964-1913
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LAKSHMANA PUDIPEDDI
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Credential |
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Telephone | 203-323-2161
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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 | PCY.0000767
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License Number State | CT
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