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General NPI Number Information
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NPI Number | 1053322578
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Entity Type | Organization
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Legal Business Name | RXD PHARMACY OF NJ INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 45 S CENTRE ST
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109-2211
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Country | US
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Telephone | 856-665-8405
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Fax | 856-665-8406
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Provider Business Mailing Address
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Address Line | 45 S CENTRE ST
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109-2211
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | ROBERT MILNER
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Credential |
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Telephone | 856-858-9292
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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 | RS00676200
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License Number State | NJ
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