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General NPI Number Information
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NPI Number | 1003548009
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Entity Type | Organization
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Legal Business Name | PELMEDS FITCHBURG
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 321 LUNENBURG ST
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City | FITCHBURG
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State | MA
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Zip | 01420-4503
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Country | US
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Telephone | 774-300-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 321 LUNENBURG ST
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City | FITCHBURG
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State | MA
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Zip | 01420-4503
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Country | US
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Telephone | 774-300-8383
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | JASON TRUDEL
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Credential |
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Telephone | 781-966-2700
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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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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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