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General NPI Number Information
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NPI Number | 1275939746
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Entity Type | Organization
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Legal Business Name | LL PHARMA INC
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 9252 KENNEDY BLVD UNIT 3
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-9300
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Country | US
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Telephone | 201-624-8015
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Fax | 201-624-8016
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Provider Business Mailing Address
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Address Line | 9252 KENNEDY BLVD UNIT 3
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-9300
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Country | US
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Telephone | 201-624-8015
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Fax | 201-624-8016
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIRAN K CHENNA
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Credential |
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Telephone | 551-998-2115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 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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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00737000
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License Number State | NJ
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