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General NPI Number Information
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NPI Number | 1326443300
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Entity Type | Organization
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Legal Business Name | THE WESTON CENTER PHARMACY LLC
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 190 WESTON RD
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City | WESTON
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State | CT
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Zip | 06883-2126
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Country | US
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Telephone | 203-226-7800
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Fax | 203-226-9300
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Provider Business Mailing Address
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Address Line | 190 WESTON RD
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City | WESTON
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State | CT
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Zip | 06883-2126
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Country | US
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Telephone | 203-226-7800
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Fax | 203-226-9300
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Authorized Official
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Title or Position | OFFICER
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Name | FRANK RANDAZZO
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Credential | PHARM.D.
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Telephone | 203-226-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PCY.0002098
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License Number State | CT
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