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General NPI Number Information
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NPI Number | 1427999267
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Entity Type | Organization
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Legal Business Name | SG PHARMACY INC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 249 BROAD AVE
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City | PALISADES PARK
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State | NJ
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Zip | 07650-1550
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Country | US
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Telephone | 201-300-4767
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Fax | 201-300-4768
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Provider Business Mailing Address
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Address Line | 249 BROAD AVE
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City | PALISADES PARK
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State | NJ
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Zip | 07650-1550
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Country | US
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Telephone | 201-300-4767
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Fax | 201-300-4768
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Authorized Official
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Title or Position | OWNER
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Name | SEUNGKYU GIM
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Credential |
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Telephone | 201-300-4767
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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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