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General NPI Number Information
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NPI Number | 1922819903
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Entity Type | Organization
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Legal Business Name | EMPIRE RX PHARMACY CORP
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1611 UNIVERSITY AVE
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City | BRONX
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State | NY
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Zip | 10453-6947
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Country | US
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Telephone | 718-550-5049
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Fax | 718-550-4114
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Provider Business Mailing Address
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Address Line | 1611 UNIVERSITY AVE
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City | BRONX
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State | NY
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Zip | 10453-6947
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Country | US
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Telephone | 718-550-5049
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Fax | 718-550-4114
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Authorized Official
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Title or Position | CEO
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Name | OCTAVIO GARCIA
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Credential |
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Telephone | 914-514-0720
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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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