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General NPI Number Information
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NPI Number | 1891266771
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Entity Type | Organization
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Legal Business Name | SQUARE PHARMACY INC.
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 10/03/2021
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Provider Practice Location Address
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Address Line | 8400 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-3508
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Country | US
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Telephone | 718-269-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 FLATLANDS AVE.
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City | BROOKLYN
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State | NY
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Zip | 11236
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Country | US
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Telephone | 718-269-4000
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Fax | 718-209-4001
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. RAMI MOHAMED HEWADY
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Credential | PHARMD
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Telephone | 718-269-4000
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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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