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General NPI Number Information
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NPI Number | 1932454121
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Entity Type | Organization
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Legal Business Name | CVS PHARMACY
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 17221 46TH AVE
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City | FLUSHING
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State | NY
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Zip | 11358-3307
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Country | US
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Telephone | 718-358-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 7563 182ND ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1613
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Country | US
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Telephone | 646-662-3365
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. CHRISTOPHER CHOI
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Credential |
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Telephone | 646-662-3365
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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 | 056874
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License Number State | NY
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