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General NPI Number Information
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NPI Number | 1962037432
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Entity Type | Organization
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Legal Business Name | QUINLANS PHARMACY INC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 2215 GENESEE STREET 4TH FLOOR, ROOM 415
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City | UTICA
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State | NY
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Zip | 13501-5930
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Country | US
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Telephone | 315-801-8682
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Fax | 315-801-8684
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Provider Business Mailing Address
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Address Line | 107 N MAIN ST
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City | WAYLAND
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State | NY
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Zip | 14572-1033
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Country | US
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Telephone | 585-728-2250
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | KEVIN JAMES GREUBER
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Credential |
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Telephone | 585-612-3024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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