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General NPI Number Information
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NPI Number | 1124812896
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Entity Type | Organization
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Legal Business Name | BERGEN FAMILY PHARMACY, INC.
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 5202 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-5524
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Country | US
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Telephone | 201-430-4420
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Fax | 201-430-4421
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Provider Business Mailing Address
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Address Line | 515 LONG DR
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City | WYCKOFF
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State | NJ
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Zip | 07481-1714
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Country | US
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Telephone | 551-404-3942
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIN KIM
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Credential |
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Telephone | 551-404-3942
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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 |
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License Number State |
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