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General NPI Number Information
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NPI Number | 1891849998
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Entity Type | Organization
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Legal Business Name | B.H. DRUG CORP
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 8780A SUTPHIN BLVD
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City | JAMAICA
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State | NY
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Zip | 11435-3342
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Country | US
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Telephone | 718-291-9500
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Fax | 718-291-3525
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Provider Business Mailing Address
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Address Line | 8780A SUTPHIN BLVD
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City | JAMAICA
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State | NY
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Zip | 11435-3342
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Country | US
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Telephone | 718-291-9500
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Fax | 718-291-3525
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Authorized Official
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Title or Position | PHARMECIST PRESIDENT
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Name | MR. OMID FAROKHPOUR
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Credential | RPH
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Telephone | 718-291-9500
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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 | 025446
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License Number State | NY
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