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General NPI Number Information
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NPI Number | 1366347577
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Entity Type | Organization
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Legal Business Name | ABBOTT PHARMACY LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 4529 BERGENLINE AVE
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City | UNION CITY
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State | NJ
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Zip | 07087-2737
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Country | US
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Telephone | 201-300-4740
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Fax | 201-300-4739
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Provider Business Mailing Address
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Address Line | 4529 BERGENLINE AVE
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City | UNION CITY
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State | NJ
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Zip | 07087-2737
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Country | US
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Telephone | 201-300-4740
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Fax | 201-300-4739
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Authorized Official
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Title or Position | OWNER
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Name | AWAIS NAZIR
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Credential |
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Telephone | 201-300-4740
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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 | NULL
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