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General NPI Number Information
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NPI Number | 1194366955
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Entity Type | Organization
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Legal Business Name | REMEDIUM PHARMACY, LLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 2 VINAL SQ
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-1312
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Country | US
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Telephone | 978-251-7070
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Fax | 978-251-7071
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Provider Business Mailing Address
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Address Line | 119 DRUM HILL RD STE 392
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City | CHELMSFORD
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State | MA
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Zip | 01824-1505
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Country | US
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Telephone | 978-251-7070
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Fax | 978-251-7071
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Authorized Official
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Title or Position | MANAGER OF RECORD
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Name | CRISTINA LUCIA IEPURE
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Credential | RPH
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Telephone | 978-251-7070
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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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