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General NPI Number Information
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NPI Number | 1972685766
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Entity Type | Organization
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Legal Business Name | AMERIWAY PHARMACY INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 2272 86TH ST
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City | BROOKLYN
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State | NY
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Zip | 11214-4138
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Country | US
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Telephone | 718-872-5737
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Fax | 718-872-5723
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Provider Business Mailing Address
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Address Line | 2272 86TH ST
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City | BROOKLYN
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State | NY
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Zip | 11214-4138
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Country | US
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Telephone | 718-872-5737
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Fax | 718-872-5723
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | SINH TRUONG
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Credential |
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Telephone | 718-872-5737
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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 | 027913
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License Number State | NY
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