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General NPI Number Information
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NPI Number | 1497782627
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Entity Type | Organization
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Legal Business Name | HILLCREST PHARMACY
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6012 WESTFIELD AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1720
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Country | US
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Telephone | 856-663-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 6012 WESTFIELD AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1720
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Country | US
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Telephone | 856-663-0700
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | DILESH R PATEL
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Credential | R.P
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Telephone | 856-663-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 28R101758800
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License Number State | NJ
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