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General NPI Number Information
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NPI Number | 1962599167
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Entity Type | Organization
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Legal Business Name | OCEAN PHARMACY INC
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3124 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-3299
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Country | US
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Telephone | 516-764-9600
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Fax | 516-764-0218
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Provider Business Mailing Address
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Address Line | 3124 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-3299
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Country | US
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Telephone | 516-764-9600
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Fax | 516-764-0218
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAJENDRAPRASAD VENIGALLA
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Credential |
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Telephone | 516-764-9600
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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 | 029699
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License Number State | NY
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