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General NPI Number Information
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NPI Number | 1932493475
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Entity Type | Organization
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Legal Business Name | QUICK-FILL PHARMACY CORP
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 21617 MERRICK BLVD
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City | LAURELTON
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State | NY
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Zip | 11413-1407
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Country | US
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Telephone | 718-276-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 80 NEWKIRK RD
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City | YONKERS
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State | NY
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Zip | 10710-3518
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Country | US
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Telephone | 212-470-7073
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ONYI AHANEKU
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Credential |
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Telephone | 212-470-7073
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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 | 030822
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License Number State | NY
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