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General NPI Number Information
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NPI Number | 1255762894
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Entity Type | Organization
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Legal Business Name | LSC PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 1 CLARA MAASS DR
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3550
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Country | US
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Telephone | 973-450-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 94 OLD SHORT HILLS RD - EAST WING - CMMC
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-322-2946
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Fax | 973-322-2419
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Authorized Official
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Title or Position | AVP
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Name | JOSEPH JOHN VOELKEL
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Credential | RPH
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Telephone | 973-322-2946
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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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