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General NPI Number Information
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NPI Number | 1003231937
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Entity Type | Organization
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Legal Business Name | BANSI PHARMACY INC
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Dates
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Enumeration Date | 03/01/2014
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 130 HIGHWAY 33
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City | MANALAPAN
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State | NJ
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Zip | 07726-8361
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Country | US
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Telephone | 732-431-9400
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Fax | 732-431-9405
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Provider Business Mailing Address
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Address Line | 130 HIGHWAY 33
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City | MANALAPAN
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State | NJ
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Zip | 07726-8361
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Country | US
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Telephone | 732-431-9400
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Fax | 732-431-9405
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAILAJA NALAM
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Credential | PHARM.D
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Telephone | 908-917-8310
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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 | 28RS00731600
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License Number State | NJ
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