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General NPI Number Information
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NPI Number | 1154432169
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Entity Type | Organization
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Legal Business Name | SILVERTON PHARMACY LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 1824 HOOPER AVE. SILVERTON PHARMACY
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City | TOMS RIVER
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State | NJ
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Zip | 08753
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Country | US
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Telephone | 732-255-3121
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Fax | 732-255-3249
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Provider Business Mailing Address
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Address Line | 1824 HOOPER AVE. SILVERTON PHARMACY
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City | TOMS RIVER
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State | NJ
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Zip | 08753
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Country | US
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Telephone | 732-255-4788
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Fax | 732-255-3249
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | JAY PATEL
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Credential | PHARM D.
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Telephone | 732-255-3121
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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 | 28RS00020800
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License Number State | NJ
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