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General NPI Number Information
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NPI Number | 1144730854
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Entity Type | Organization
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Legal Business Name | AUBURN APOTHECARY LLC
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Dates
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Enumeration Date | 10/07/2017
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Last Update Date | 03/05/2023
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Provider Practice Location Address
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Address Line | 689 SOUTHBRIDGE ST
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City | AUBURN
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State | MA
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Zip | 01501-1833
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Country | US
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Telephone | 774-922-3904
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Fax |
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Provider Business Mailing Address
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Address Line | 4 TANNERY RD
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City | FISKDALE
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State | MA
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Zip | 01518-1171
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Country | US
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Telephone | 774-922-3904
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. VRUSHANK PATEL
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Credential |
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Telephone | 774-922-3904
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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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