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General NPI Number Information
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NPI Number | 1063760098
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Entity Type | Organization
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Legal Business Name | MADISON AVE PHARMACY LLC
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 400 MADISON AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3225
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Country | US
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Telephone | 732-370-4200
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Fax | 732-328-2233
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Provider Business Mailing Address
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Address Line | 400 MADISON AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3225
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Country | US
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Telephone | 732-370-4200
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Fax | 732-328-2233
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Authorized Official
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Title or Position | OWNER
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Name | DAVID SEGAL
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Credential |
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Telephone | 908-745-1020
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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 | 28RS00721100
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License Number State | NJ
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