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General NPI Number Information
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NPI Number | 1376427161
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Entity Type | Organization
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Legal Business Name | SPECIALTY RX OF VA LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 811 CONNECTICUT AVE NE
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City | ROANOKE
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State | VA
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Zip | 24012-5317
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Country | US
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Telephone | 540-530-6337
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Fax | 908-634-4038
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Provider Business Mailing Address
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Address Line | 2 BERGEN TPKE
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City | RIDGEFIELD PARK
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State | NJ
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Zip | 07660-2390
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Country | US
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Telephone | 908-241-6337
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Fax | 908-634-4038
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Authorized Official
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Title or Position | OWNER
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Name | JOEL ZUPNICK
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Credential |
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Telephone | 908-241-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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