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General NPI Number Information
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NPI Number | 1215929500
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Entity Type | Organization
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Legal Business Name | DRUG FAIR GROUP, INC.
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | ADELPHIA ROAD & ROUTE 9
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-431-3030
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Fax | 732-845-3110
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Provider Business Mailing Address
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Address Line | 800 COTTONTAIL LN
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City | SOMERSET
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State | NJ
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Zip | 08873-1227
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Country | US
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Telephone | 732-748-8900
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Fax | 732-868-4172
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Authorized Official
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Title or Position | V.P. PHARMACY
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Name | MR. EDWARD G MCGINLEY
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Credential | R.PH.
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Telephone | 732-748-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5065
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License Number State | NJ
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