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General NPI Number Information
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NPI Number | 1982130043
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Entity Type | Organization
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Legal Business Name | 110 METRO DRUGS, INC.
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 2061 ATLANTIC AVE
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City | BROOKLYN
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State | NY
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Zip | 11233-3202
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Country | US
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Telephone | 516-528-3120
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Fax |
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Provider Business Mailing Address
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Address Line | 2061 ATLANTIC AVE
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City | BROOKLYN
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State | NY
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Zip | 11233-3202
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Country | US
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Telephone | 516-528-3120
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MOHAMMAD ALI
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Credential |
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Telephone | 516-528-3120
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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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