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General NPI Number Information
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NPI Number | 1962041426
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Entity Type | Organization
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Legal Business Name | B & R WHOLESALE, LLC
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 3858 NOSTRAND AVE STE 203
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City | BROOKLYN
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State | NY
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Zip | 11235-2038
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Country | US
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Telephone | 718-676-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 3858 NOSTRAND AVE STE 203
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City | BROOKLYN
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State | NY
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Zip | 11235-2038
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Country | US
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Telephone | 718-676-1215
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MISS JENNY SEERAM
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Credential | RPH
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Telephone | 917-370-6812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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