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General NPI Number Information
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NPI Number | 1104164664
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Entity Type | Organization
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Legal Business Name | NEFF DRUGS 21 LLC
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 2500 FEDERAL ST SUITE A
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City | CAMDEN
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State | NJ
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Zip | 08105-1939
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Country | US
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Telephone | 856-963-2900
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Fax | 856-963-2909
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Provider Business Mailing Address
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Address Line | 2500 FEDERAL ST SUITE A
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City | CAMDEN
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State | NJ
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Zip | 08105-1939
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Country | US
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Telephone | 856-963-2900
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Fax | 856-963-2909
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Authorized Official
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Title or Position | MEMBER LLC
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Name | MR. JOSEPH P RALSTON JR.
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Credential |
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Telephone | 215-630-4650
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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 | 28RS00723900
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License Number State | NJ
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