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General NPI Number Information
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NPI Number | 1144028226
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Entity Type | Organization
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Legal Business Name | THE HRT CLUB PHARMACY, LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 5151 MONROE ST STE 244C
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City | TOLEDO
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State | OH
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Zip | 43623-3461
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Country | US
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Telephone | 978-908-9552
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Fax | 844-832-2646
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Provider Business Mailing Address
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Address Line | 100 SOMERSET CORPORATE BLVD FL 2
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2842
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Country | US
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Telephone | 978-908-9552
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | LAUREN MUNIGHAN DARISSE
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Credential | JD
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Telephone | 978-908-9552
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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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