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General NPI Number Information
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NPI Number | 1285087650
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Entity Type | Organization
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Legal Business Name | TRUMBULL PHARMACY LLC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 10 BROADWAY ROAD, BLDG B, UNIT B
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City | TRUMBULL
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State | CT
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Zip | 06611
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Country | US
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Telephone | 203-590-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BROADWAY RD, BLDG B, UNIT B
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City | TRUMBULL
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State | CT
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Zip | 06611-1812
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Country | US
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Telephone | 203-590-7555
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. ALOK BHATT
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Credential | RPH
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Telephone | 203-590-7555
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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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