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General NPI Number Information
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NPI Number | 1942847371
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Entity Type | Organization
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Legal Business Name | L.D.C. PHARMACY CORP
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 1825 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10035-3829
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Country | US
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Telephone | 212-369-5555
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Fax | 212-534-4517
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Provider Business Mailing Address
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Address Line | 1825 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10035-3829
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Country | US
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Telephone | 212-369-5555
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Fax | 212-534-4517
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Authorized Official
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Title or Position | CFO
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Name | MRS. MARILDA BONILLA-DITTA
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Credential |
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Telephone | 212-369-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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