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General NPI Number Information
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NPI Number | 1932207966
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Entity Type | Organization
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Legal Business Name | YOUR HEALTH PHARMACY INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 80 E 116TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-1128
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Country | US
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Telephone | 212-348-7788
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Fax | 212-348-4944
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Provider Business Mailing Address
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Address Line | 80 E 116TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-1128
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Country | US
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Telephone | 212-348-7788
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Fax | 212-348-4944
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Authorized Official
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Title or Position | REGISTERED PHARMACIST
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Name | JOHN SUNDERRAJ
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Credential |
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Telephone | 212-348-7788
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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 | 025832
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License Number State | NY
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