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General NPI Number Information
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NPI Number | 1154688109
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Entity Type | Organization
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Legal Business Name | ROCHESTER RX, LLC
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 263 AUBURN AVE
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City | PONTIAC
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State | MI
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Zip | 48342-3012
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Country | US
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Telephone | 248-289-1376
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Fax | 248-289-1447
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Provider Business Mailing Address
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Address Line | 263 AUBURN AVE
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City | PONTIAC
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State | MI
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Zip | 48342-3012
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Country | US
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Telephone | 248-289-1376
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Fax | 248-289-1447
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JUSTIN KAJY
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Credential | PHARMD
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Telephone | 248-289-1376
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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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