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General NPI Number Information
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NPI Number | 1992977094
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Entity Type | Organization
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Legal Business Name | QUEENS CROSSING PHARMACY,INC.
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 13620 38TH AVE SUITE 3A
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City | FLUSHING
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State | NY
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Zip | 11354-4233
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Country | US
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Telephone | 718-460-1180
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Fax | 718-460-1182
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Provider Business Mailing Address
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Address Line | 13620 38TH AVE SUITE 3A
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City | FLUSHING
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State | NY
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Zip | 11354-4233
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Country | US
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Telephone | 718-460-1180
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Fax | 718-460-1182
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WARREN MOY
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Credential | RPH
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Telephone | 718-460-1180
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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 | 028730
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License Number State | NY
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