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General NPI Number Information
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NPI Number | 1306867361
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Entity Type | Organization
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Legal Business Name | AR EX PHARMACY INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 370 NEW BRUNSWICK AVE
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City | FORDS
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State | NJ
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Zip | 08863-2141
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Country | US
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Telephone | 732-738-1085
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Fax | 732-738-1068
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Provider Business Mailing Address
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Address Line | 370 NEW BRUNSWICK AVE
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City | FORDS
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State | NJ
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Zip | 08863-2141
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Country | US
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Telephone | 732-738-1085
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Fax | 732-738-1068
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANIL DATWANI
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Credential | PHARMD
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Telephone | 732-738-1085
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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 | 28RS00652000
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License Number State | NJ
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