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General NPI Number Information
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NPI Number | 1376688267
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Entity Type | Organization
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Legal Business Name | VALUE PHARMA INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 221 BLOOMFIELD AVE
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City | NEWARK
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State | NJ
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Zip | 07104-5829
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Country | US
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Telephone | 973-623-5566
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Fax | 973-623-7144
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Provider Business Mailing Address
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Address Line | 221 BLOOMFIELD AVE
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City | NEWARK
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State | NJ
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Zip | 07104-5829
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Country | US
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Telephone | 973-623-5566
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Fax | 973-623-7144
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHANI KUMAR CHALUVADI
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Credential |
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Telephone | 973-623-5566
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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 | 28RS00606300
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License Number State | NJ
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