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General NPI Number Information
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NPI Number | 1003293515
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Entity Type | Organization
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Legal Business Name | PARAMOUNT DRUG LLC
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 54 E SCOTT ST
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City | RIVERSIDE
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State | NJ
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Zip | 08075-3616
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Country | US
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Telephone | 856-461-0953
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Fax | 856-461-6443
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Provider Business Mailing Address
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Address Line | 400 BROWN ST
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City | DELRAN
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State | NJ
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Zip | 08075-1118
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Country | US
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Telephone | 856-229-2646
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Fax |
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Authorized Official
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Title or Position | MANAGER/PHARMACIST
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Name | SHARON MAHER
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Credential |
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Telephone | 856-229-2646
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS0345700
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License Number State | NJ
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