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General NPI Number Information
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NPI Number | 1215385547
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Entity Type | Organization
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Legal Business Name | RITE AID PHARMACY
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 907 HIGH ST N
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City | MILLVILLE
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State | NJ
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Zip | 08332-3762
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Country | US
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Telephone | 856-825-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 716 E GRIST MILL WAY
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City | GALLOWAY
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State | NJ
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Zip | 08205-3013
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Country | US
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Telephone | 609-513-0400
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. GARY JOSEPH SKROSKI
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Credential | RPH
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Telephone | 609-513-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RI01778900
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License Number State | NJ
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