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General NPI Number Information
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NPI Number | 1265860019
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Entity Type | Organization
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Legal Business Name | PARA-PHARM INC
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Dates
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Enumeration Date | 10/14/2013
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1197 MAIN ST
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City | WILLIMANTIC
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State | CT
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Zip | 06226-1907
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Country | US
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Telephone | 860-423-1661
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Fax | 860-423-4334
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Provider Business Mailing Address
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Address Line | 1213 MAIN ST
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City | WILLIMANTIC
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State | CT
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Zip | 06226-1907
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Country | US
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Telephone | 860-423-1661
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Fax | 860-423-4334
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JAMIE JENSEN
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Credential | PHARMD
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Telephone | 860-423-1661
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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 | 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 #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PCY.0002264
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License Number State | CT
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