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General NPI Number Information
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NPI Number | 1932114543
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Entity Type | Organization
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Legal Business Name | BRITE PHARMACY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 12/18/2016
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Provider Practice Location Address
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Address Line | 8319 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7320
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Country | US
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Telephone | 718-424-1101
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Fax | 718-424-1299
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Provider Business Mailing Address
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Address Line | 8319 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7320
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Country | US
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Telephone | 718-424-1101
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Fax | 718-424-1299
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | KIM WONG
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Credential |
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Telephone | 718-424-1101
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 027404
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License Number State | NY
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