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General NPI Number Information
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NPI Number | 1215334701
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Entity Type | Organization
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Legal Business Name | ULTRA CARE PHARMACY LLC
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 557 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-3829
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Country | US
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Telephone | 201-455-8200
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Fax | 201-455-8207
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Provider Business Mailing Address
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Address Line | 557 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-3829
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Country | US
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Telephone | 201-455-8200
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Fax | 201-455-8207
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Authorized Official
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Title or Position | OWNER
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Name | JANAK PATEL
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Credential | RPH
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Telephone | 908-230-2998
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00737200
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License Number State | NJ
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