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General NPI Number Information
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NPI Number | 1033505433
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Entity Type | Organization
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Legal Business Name | BELLEVILLE PHARMACY
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 338 WASHINGTON AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-5231
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Country | US
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Telephone | 973-759-1956
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Fax | 973-759-2027
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Provider Business Mailing Address
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Address Line | 338 WASHINGTON AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-5231
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Country | US
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Telephone | 973-759-1956
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Fax | 973-759-2027
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Authorized Official
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Title or Position | OWNER
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Name | MAIRA CHOUDHARY
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Credential |
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Telephone | 973-759-1956
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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 | 28RS00209000
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License Number State | NJ
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