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NPI 1215963418

NPI 1215963418 : CUREXA - EAST, LLC : EGG HARBOR TOWNSHIP, NJ

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General NPI Number Information
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    NPI Number           |    1215963418
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUREXA - EAST, LLC 
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Dates
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    Enumeration Date     |    06/23/2006
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    3007 OCEAN HEIGHTS AVE 
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    City                 |    EGG HARBOR TOWNSHIP
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    State                |    NJ
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    Zip                  |    08234-7749
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    Country              |    US
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    Telephone            |    855-927-0390
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    Fax                  |    855-927-0392
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Provider Business Mailing Address
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    Address Line         |    3007 OCEAN HEIGHTS AVE 
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    City                 |    EGG HARBOR TOWNSHIP
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    State                |    NJ
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    Zip                  |    08234-7749
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    Country              |    US
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    Telephone            |    855-927-0390
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    Fax                  |    855-927-0392
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Authorized Official
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    Title or Position    |    CEO, PRESIDENT AND PHARMACIST IN CH
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    Name                 |    MR. MARK KELSO TAYLOR 
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    Credential           |    RPH
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    Telephone            |    855-927-0390
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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       |    
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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        |    3336M0002X
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    Taxonomy Name        |    Mail Order Pharmacy
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    License Number       |    
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    License Number State |    
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