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General NPI Number Information
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NPI Number | 1417044611
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Entity Type | Organization
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Legal Business Name | COMMUNITY SURGICAL SUPPLY OF TOMS RIVER INC
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 163 ROUTE 37 W
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City | TOMS RIVER
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State | NJ
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Zip | 08755-8046
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Country | US
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Telephone | 732-349-2990
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Fax | 732-505-4450
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Provider Business Mailing Address
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Address Line | PO BOX 4686
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City | TOMS RIVER
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State | NJ
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Zip | 08754-4686
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | STANLEY KALEMBA
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Credential | RP
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Telephone | 732-349-2990
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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 |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00211800
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License Number State | NJ
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