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General NPI Number Information
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NPI Number | 1184488207
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Entity Type | Organization
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Legal Business Name | TONYS FAMILY PHARMACY
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 3333 US HIGHWAY 9
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City | FREEHOLD
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State | NJ
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Zip | 07728-8503
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Country | US
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Telephone | 732-308-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 US HIGHWAY 9
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City | FREEHOLD
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State | NJ
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Zip | 07728-8503
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Country | US
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Telephone | 732-308-3627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA FAVAZZA
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Credential | PHARM. D.
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Telephone | 732-308-3627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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