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General NPI Number Information
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NPI Number | 1164594107
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Entity Type | Organization
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Legal Business Name | WALLINGTON DRUGS INC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 130 LOCUST AVE
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City | WALLINGTON
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State | NJ
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Zip | 07057-1439
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Country | US
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Telephone | 973-777-2100
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Fax | 973-777-2645
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Provider Business Mailing Address
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Address Line | 130 LOCUST AVE
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City | WALLINGTON
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State | NJ
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Zip | 07057-1439
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Country | US
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Telephone | 973-777-2100
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Fax | 973-777-2645
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EUGENE TARASZKA
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Credential | RP
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Telephone | 973-777-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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