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General NPI Number Information
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NPI Number | 1962494617
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Entity Type | Organization
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Legal Business Name | L & M PHARMACY INC
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 53 N BROADWAY
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City | HICKSVILLE
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State | NY
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Zip | 11801-2901
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Country | US
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Telephone | 516-931-1099
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Fax | 516-931-4932
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Provider Business Mailing Address
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Address Line | 53 N BROADWAY
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City | HICKSVILLE
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State | NY
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Zip | 11801-2901
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Country | US
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Telephone | 516-931-1099
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Fax | 516-931-4932
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Authorized Official
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Title or Position | OWNER
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Name | MAYA KURTZ
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Credential | RPH
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Telephone | 516-931-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 019244
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License Number State | NY
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