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General NPI Number Information
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NPI Number | 1316636905
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Entity Type | Organization
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Legal Business Name | HORSHAM RX LLC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 1116 HORSHAM RD STE 8
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City | AMBLER
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State | PA
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Zip | 19002-1143
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Country | US
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Telephone | 215-970-9776
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Fax | 215-970-9778
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Provider Business Mailing Address
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Address Line | 925 LONGWOOD CT
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City | CHALFONT
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State | PA
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Zip | 18914-4428
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Country | US
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Telephone | 267-218-4747
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MR. NILESH ROKAD
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Credential | RPH
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Telephone | 215-970-9776
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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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