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General NPI Number Information
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NPI Number | 1982945630
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Entity Type | Organization
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Legal Business Name | WESTCHESTER AVENUE PHARMACY, INC.
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 3227 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10461-4507
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Country | US
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Telephone | 718-684-5127
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Fax | 718-684-5129
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Provider Business Mailing Address
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Address Line | 3227 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10461-4507
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Country | US
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Telephone | 718-684-5127
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Fax | 718-684-5129
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTIAN UWABUNKONYE O'HAERI
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Credential | PHARM.D.
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Telephone | 718-684-5127
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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 | NY
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