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General NPI Number Information
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NPI Number | 1114432937
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Entity Type | Organization
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Legal Business Name | ADLERS PHARMACY LTC
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 100 DOBBS LN STE 205
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City | CHERRY HILL
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State | NJ
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Zip | 08034-1436
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Country | US
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Telephone | 856-685-7264
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Fax | 856-520-8464
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Provider Business Mailing Address
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Address Line | 100 DOBBS LN STE 205
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City | CHERRY HILL
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State | NJ
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Zip | 08034-1436
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Country | US
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Telephone | 856-685-7264
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Fax | 856-520-8464
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KELLEY MARTINO
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Credential |
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Telephone | 856-685-7264
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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 | 28RS00613600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 28RS00613600
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License Number State | NJ
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