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General NPI Number Information
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NPI Number | 1326918244
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Entity Type | Organization
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Legal Business Name | PACK RX INC.
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 461 MONROE TPKE
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City | MONROE
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State | CT
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Zip | 06468-2338
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Country | US
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Telephone | 904-314-2276
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Fax |
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Provider Business Mailing Address
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Address Line | 461 MONROE TPKE
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City | MONROE
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State | CT
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Zip | 06468-2338
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAGA VENKATA JAKKA
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Credential |
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Telephone | 904-314-2276
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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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