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General NPI Number Information
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NPI Number | 1013401058
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Entity Type | Organization
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Legal Business Name | JHA PHARMA LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 3350 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11208-2034
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Country | US
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Telephone | 718-277-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 123 LAIDLAW AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-2512
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Country | US
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Telephone | 201-780-7210
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RATHNA VEERAMACHANANI
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Credential |
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Telephone | 201-780-7210
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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 |
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License Number State |
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