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General NPI Number Information
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NPI Number | 1447301924
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Entity Type | Organization
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Legal Business Name | MILLSTONE FAMILY PHARMACY
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 221 MILLSTONE RD # 46
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City | PERRINEVILLE
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State | NJ
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Zip | 08535-1214
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Country | US
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Telephone | 732-446-5050
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Fax | 732-446-6042
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Provider Business Mailing Address
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Address Line | 221 MILLSTONE RD # 46
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City | PERRINEVILLE
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State | NJ
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Zip | 08535-1214
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Country | US
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Telephone | 732-446-5050
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Fax | 732-446-6042
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY B DEBLASIO
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Credential |
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Telephone | 732-446-5050
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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 | 28RS00619700
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License Number State | NJ
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