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General NPI Number Information
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NPI Number | 1073221859
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Entity Type | Organization
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Legal Business Name | SKILLZCARE PHARMACY INC
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 1378 ROUTE 206 # UNTI14
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City | SKILLMAN
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State | NJ
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Zip | 08558-1923
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Country | US
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Telephone | 609-212-2123
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Fax | 609-212-2144
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Provider Business Mailing Address
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Address Line | 1378 ROUTE 206 # UNTI14
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City | SKILLMAN
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State | NJ
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Zip | 08558-1923
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Country | US
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Telephone | 609-212-2123
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Fax | 609-212-2144
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASMA SURAYYA
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Credential |
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Telephone | 732-690-5264
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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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