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General NPI Number Information
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NPI Number | 1972931269
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Entity Type | Organization
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Legal Business Name | FAST & FRIENDLY PHARMACY LLC
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 140 EMPIRE BLVD STORE # 1
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City | BROOKLYN
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State | NY
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Zip | 11225-3316
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Country | US
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Telephone | 718-484-2300
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Fax | 347-663-5255
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Provider Business Mailing Address
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Address Line | 140 EMPIRE BLVD STORE #1
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City | BROOKLYN
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State | NY
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Zip | 11225-3316
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Country | US
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Telephone | 718-309-3943
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | ALEX CHARLES
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Credential |
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Telephone | 718-309-3943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 032330
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License Number State | NY
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