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General NPI Number Information
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NPI Number | 1336154954
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Entity Type | Organization
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Legal Business Name | ADVANTAGE PHARMACY SOLUTIONS LLC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 1417 BRACE RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3524
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Country | US
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Telephone | 856-796-9500
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Fax | 856-795-7771
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Provider Business Mailing Address
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Address Line | 1417 BRACE RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3524
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Country | US
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Telephone | 856-796-9500
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Fax | 856-795-7771
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | AVERY EISENRIECH
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Credential |
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Telephone | 201-216-9502
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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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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 28RS00672300
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License Number State | NJ
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