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General NPI Number Information
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NPI Number | 1902629942
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Entity Type | Organization
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Legal Business Name | CITY PLUS PHARMACY INC.
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 10609 GUY R BREWER BLVD
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City | JAMAICA
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State | NY
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Zip | 11433-2118
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Country | US
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Telephone | 917-291-0586
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Fax |
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Provider Business Mailing Address
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Address Line | 10609 GUY R BREWER BLVD
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City | JAMAICA
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State | NY
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Zip | 11433-2118
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Country | US
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Telephone | 917-291-0586
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA BEN-ZION DZHURAYEV
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Credential |
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Telephone | 917-291-0586
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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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