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General NPI Number Information
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NPI Number | 1154544872
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Entity Type | Organization
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Legal Business Name | ROSSMORE PHARMACY
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 338 WASHINGTON AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3249
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Country | US
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Telephone | 973-759-1956
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Fax | 973-759-2027
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Provider Business Mailing Address
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Address Line | 338 WASHINGTON AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3249
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Country | US
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Telephone | 973-759-1956
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Fax | 973-759-2027
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Authorized Official
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Title or Position | OWNER-PHARMACIST
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Name | MR. VINCENT A COZZARELLI
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Credential | RPH
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Telephone | 973-759-1956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 28RS00209000
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License Number State | NJ
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