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NPI 1972779171

NPI 1972779171 : AID PHARMACY NY CORP : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1972779171
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    Entity Type          |    Organization 
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    Legal Business Name  |    AID PHARMACY NY CORP 
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Dates
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    Enumeration Date     |    05/07/2008
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    Last Update Date     |    07/19/2018
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Provider Practice Location Address
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    Address Line         |    139 CENTRE ST RETAIL#108
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-4552
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    Country              |    US
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    Telephone            |    212-965-9688
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    Fax                  |    212-965-8685
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Provider Business Mailing Address
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    Address Line         |    139 CENTRE ST RETAIL#108
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-4552
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    Country              |    US
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    Telephone            |    212-965-9688
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    Fax                  |    212-965-8685
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HOK DOON JOHN  AU 
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    Credential           |    
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    Telephone            |    212-965-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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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        |    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 #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    028867
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    License Number State |    NY
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