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General NPI Number Information
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NPI Number | 1093097362
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Entity Type | Organization
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Legal Business Name | E-Z CARE PHARMACY LLC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 7622 OGONTZ AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19150-1817
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Country | US
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Telephone | 267-331-8417
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Fax | 267-331-8461
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Provider Business Mailing Address
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Address Line | 7622 OGONTZ AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19150-1817
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Country | US
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Telephone | 267-331-8417
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Fax | 267-331-8461
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JONATHAN FINCH
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Credential |
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Telephone | 888-909-2688
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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 | PP482149
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License Number State | PA
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