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General NPI Number Information
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NPI Number | 1952651002
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Entity Type | Organization
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Legal Business Name | HMB II PHARMACY MANAGEMENT LLC
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 462 GRIDER ST DRIVEWAY 1
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-893-1428
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Fax |
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Provider Business Mailing Address
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Address Line | 462 GRIDER ST DRIVEWAY 1
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-893-1428
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Fax |
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Authorized Official
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Title or Position | RPH
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Name | SAMIR DESAI
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Credential |
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Telephone | 716-322-2866
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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 | 031436
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License Number State | NY
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