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NPI 1104002468

NPI 1104002468 : MEDILINK RXCARE LLC : VOORHEES, NJ

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General NPI Number Information
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    NPI Number           |    1104002468
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDILINK RXCARE LLC 
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Dates
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    Enumeration Date     |    01/17/2008
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    Last Update Date     |    05/16/2022
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Provider Practice Location Address
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    Address Line         |    1120 WHITE HORSE RD STE 112 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-2103
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    Country              |    US
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    Telephone            |    856-566-4300
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    Fax                  |    609-521-4048
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Provider Business Mailing Address
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    Address Line         |    1120 WHITE HORSE RD STE 112 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-2103
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    Country              |    US
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    Telephone            |    856-566-4300
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    Fax                  |    95-214-0486
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SOTIRIA  TZAFEROS 
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    Credential           |    PHARMD
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    Telephone            |    856-566-4300
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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        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    28RS00677600
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    License Number State |    NJ
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