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General NPI Number Information
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NPI Number | 1083018170
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Entity Type | Organization
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Legal Business Name | FORRESTAL PHARMACY CENTER
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 10 FORRESTAL ROAD SOUTH SUITE 10
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-285-5921
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Fax | 609-285-5922
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Provider Business Mailing Address
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Address Line | 10 FORRESTAL ROAD SOUTH SUITE 10
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-285-5921
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Fax | 609-285-5922
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. MAHMOOD HASHAM
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Credential | PHARMACIST
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Telephone | 609-285-5921
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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 | NJ
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