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General NPI Number Information
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NPI Number | 1124578109
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Entity Type | Organization
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Legal Business Name | TOWNE PHARMACY INC
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 1012 MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-3730
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Country | US
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Telephone | 203-488-1631
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Fax | 203-488-4089
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Provider Business Mailing Address
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Address Line | 1012 MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-3730
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Country | US
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Telephone | 203-488-1631
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Fax | 203-488-4089
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | KAREN RAGONESE
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Credential | RPH
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Telephone | 203-488-1631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0013440
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License Number State | CT
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