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General NPI Number Information
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NPI Number | 1952330961
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Entity Type | Organization
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Legal Business Name | FARIS PHARMACY INC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 2050 LATTA ROAD
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City | ROCHESTER
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State | NY
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Zip | 14612
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Country | US
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Telephone | 585-663-6950
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Fax | 585-663-5248
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Provider Business Mailing Address
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Address Line | 2050 LATTA ROAD
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City | ROCHESTER
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State | NY
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Zip | 14612
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Country | US
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Telephone | 585-663-6950
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Fax | 585-663-5248
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GEORGE J FARIS
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Credential | BS
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Telephone | 585-663-6950
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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 | 016286
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License Number State | NY
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