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General NPI Number Information
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NPI Number | 1902617251
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Entity Type | Organization
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Legal Business Name | PHARMACY EXPRESS
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 171 E MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06702-2300
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Country | US
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Telephone | 646-601-3841
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Fax |
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Provider Business Mailing Address
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Address Line | 7 TOMMYS LN
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City | BROOKFIELD
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State | CT
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Zip | 06804-1616
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Country | US
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Telephone | 646-601-3841
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FATIHA FDIL
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Credential |
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Telephone | 646-601-3841
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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 |
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License Number State |
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