Provider Information for 1013014950
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NATURES APOTHECARY INC
Other Names:Doing Business As:NATURES EMPORIUMOrganization Subpart: NO
NPI: 1013014950
Last Updated: 2013-01-08
Certification Date:
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Details
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NPI | 1013014950 | ||||||||||||
Enumeration Date | 2006-09-20 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: JOHN AZARELLI Title: PRESIDENT Phone: 7183757877 | ||||||||||||
Mailing Address | 1612 E 16TH ST BROOKLYN, NY 11229-1108 United States Phone: 718-375-7877 | Fax:718-382-5445 | ||||||||||||
Primary Practice Address | 1612 E 16TH ST BROOKLYN, NY 11229-1108 United States Phone: 718-375-7877 | Fax:718-382-5445 | ||||||||||||
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