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General NPI Number Information
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NPI Number | 1407679442
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Entity Type | Organization
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Legal Business Name | TRI TOWN PHARMACY LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 279 BROWERTOWN RD
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2663
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Country | US
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Telephone | 973-689-4901
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Fax |
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Provider Business Mailing Address
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Address Line | 279 BROWERTOWN RD
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2663
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Country | US
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Telephone | 973-689-4901
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUCY ISAAC
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Credential |
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Telephone | 718-210-6232
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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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