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General NPI Number Information
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NPI Number | 1972511277
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Entity Type | Organization
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Legal Business Name | SANFORD PHARMACY, INC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13347 SANFORD AVE SUITE #C1D
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City | FLUSHING
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State | NY
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Zip | 11355-5800
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Country | US
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Telephone | 718-460-8329
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Fax | 718-460-6279
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Provider Business Mailing Address
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Address Line | 13347 SANFORD AVE SUITE #C1D
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City | FLUSHING
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State | NY
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Zip | 11355-5800
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Country | US
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Telephone | 718-460-8329
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Fax | 718-460-6279
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. WARREN MOY
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Credential | RPH
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Telephone | 718-460-8329
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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 | 040935
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License Number State | NY
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