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General NPI Number Information
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NPI Number | 1972668408
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Entity Type | Organization
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Legal Business Name | NKS PHARMACY INC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 50 UNIVERSITY PL
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City | NEW YORK
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State | NY
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Zip | 10003-4511
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Country | US
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Telephone | 212-473-4166
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Fax | 212-598-0585
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Provider Business Mailing Address
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Address Line | 50 UNIVERSITY PL
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City | NEW YORK
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State | NY
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Zip | 10003-4511
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Country | US
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Telephone | 212-473-4166
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Fax | 212-598-0585
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | HITEN SHAH
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Credential |
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Telephone | 212-473-4166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 022821
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License Number State | NY
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