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General NPI Number Information
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NPI Number | 1083999635
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Entity Type | Organization
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Legal Business Name | AMERICAN SPECIALTY PHARMACY, INC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 365 E NORTHFIELD RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4810
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Country | US
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Telephone | 973-535-0900
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Fax | 973-535-3404
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Provider Business Mailing Address
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Address Line | 13988 DIPLOMAT DR
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-8807
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Country | US
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Telephone | 214-919-2520
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Fax | 888-389-7986
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ABDUL HAMEED
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Credential | RPH
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Telephone | 734-218-1641
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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 | 28RS00715500
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License Number State | NJ
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