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General NPI Number Information
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NPI Number | 1215237722
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Entity Type | Organization
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Legal Business Name | FAST FILL PHARMACY CORPORATION
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Dates
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Enumeration Date | 10/31/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 1900 ROUTE 70
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City | MANCHESTER
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State | NJ
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Zip | 08759-4627
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Country | US
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Telephone | 732-408-1100
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Fax | 732-408-1105
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Provider Business Mailing Address
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Address Line | 1900 ROUTE 70
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City | MANCHESTER
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State | NJ
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Zip | 08759-4627
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Country | US
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Telephone | 732-408-1100
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Fax | 732-408-1105
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Authorized Official
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Title or Position | PARMACIST IN CHARGE
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Name | BRIAN WEINFELD
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Credential |
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Telephone | 732-408-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00709000
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License Number State | NJ
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