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General NPI Number Information
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NPI Number | 1891248324
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Entity Type | Organization
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Legal Business Name | RSI PHARMACY INC
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 333 S BROADWAY
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City | HICKSVILLE
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State | NY
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Zip | 11801-5062
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Country | US
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Telephone | 516-933-3322
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Fax | 516-933-3325
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Provider Business Mailing Address
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Address Line | 333 S BROADWAY
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City | HICKSVILLE
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State | NY
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Zip | 11801-5062
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Country | US
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Telephone | 516-933-3322
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Fax | 516-933-3325
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVI CHITTINEEDI
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Credential |
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Telephone | 516-933-7322
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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 | 035032
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License Number State | NY
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