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General NPI Number Information
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NPI Number | 1992002414
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Entity Type | Organization
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Legal Business Name | ALLSTAR PHARMACY INC
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 41-69 KISSENA BLVD
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-886-6618
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Fax | 718-886-6619
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Provider Business Mailing Address
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Address Line | 41-69 KISSENA BLVD
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-886-6618
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Fax | 718-886-6619
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAYMOND YUNG CHEUNG
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Credential | PHARM D
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Telephone | 718-886-6618
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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 | 030601
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License Number State | NY
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