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General NPI Number Information
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NPI Number | 1972322576
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Entity Type | Organization
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Legal Business Name | SMARTPILLS PHARMACY INC.
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 8956 162ND ST
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City | JAMAICA
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State | NY
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Zip | 11432-5072
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Country | US
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Telephone | 929-689-0088
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Fax | 929-235-7027
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Provider Business Mailing Address
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Address Line | 8956 162ND ST
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City | JAMAICA
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State | NY
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Zip | 11432-5072
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Country | US
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Telephone | 929-689-0088
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Fax | 929-235-7027
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Authorized Official
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Title or Position | PRESIDENT
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Name | STELLA BORUKHOVA
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Credential | PHARMD
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Telephone | 347-920-8344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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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 |
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License Number State |
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