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General NPI Number Information
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NPI Number | 1407949035
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Entity Type | Organization
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Legal Business Name | NORTH CENTER DRUGS
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 386 BROAD STREET
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City | BLOOMFIELD
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State | NJ
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Zip | 07003
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Country | US
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Telephone | 973-748-1299
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Fax | 973-748-0022
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Provider Business Mailing Address
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Address Line | 386 BROAD STREET
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City | BLOOMFIELD
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State | NJ
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Zip | 07003
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Country | US
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Telephone | 973-748-1299
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Fax | 973-748-0022
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARTIN WILLIAM SOLOMON
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Credential | RPH
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Telephone | 973-748-1299
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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 | 28RS00191900
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License Number State | NJ
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