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General NPI Number Information
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NPI Number | 1912077215
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Entity Type | Organization
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Legal Business Name | L&J PHARMACY, INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 284 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705-2026
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Country | US
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Telephone | 914-963-3346
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Fax | 914-963-0362
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Provider Business Mailing Address
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Address Line | 81 HAYWARD ST
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City | YONKERS
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State | NY
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Zip | 10704-1805
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Country | US
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Telephone | 914-963-3346
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Fax | 914-963-0362
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH A RIBEIRO
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Credential | RPH
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Telephone | 914-963-3346
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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 | 016822
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License Number State | NY
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