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General NPI Number Information
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NPI Number | 1306174131
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY, LLC.
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 12/02/2019
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Provider Practice Location Address
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Address Line | 2025 OLD TRENTON RD
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City | WEST WINDSOR
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State | NJ
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Zip | 08550-2412
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Country | US
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Telephone | 609-426-0441
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Fax | 609-426-0443
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Provider Business Mailing Address
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Address Line | 2025 OLD TRENTON RD
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City | WEST WINDSOR
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State | NJ
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Zip | 08550-2412
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Country | US
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Telephone | 609-426-0441
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Fax | 609-426-0443
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. KHOLOUD A ALI
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Credential | RPH
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Telephone | 609-426-0441
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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 | 28RF00699500
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License Number State | NJ
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