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General NPI Number Information
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NPI Number | 1992462303
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Entity Type | Organization
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Legal Business Name | STAMFORD HEALTH PHARMACY LLC
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 1 HOSPITAL PLZ STE G122
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-276-2350
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Fax | 203-276-2354
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL PLZ STE G122
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-276-2350
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Fax | 203-276-2354
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MS. SOKHAK SO
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Credential | PHARM.D
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Telephone | 203-276-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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