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General NPI Number Information
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NPI Number | 1467755009
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Entity Type | Organization
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Legal Business Name | LA FARMACIA
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 406 37TH ST
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City | UNION CITY
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State | NJ
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Zip | 07087-4804
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Country | US
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Telephone | 908-380-8757
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 ROUTE 9 N SUITE 205
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-1408
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Country | US
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Telephone | 908-380-8757
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ROGER J SANCHEZ
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Credential |
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Telephone | 908-380-8757
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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 |
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License Number State |
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