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General NPI Number Information
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NPI Number | 1508285131
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Entity Type | Organization
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Legal Business Name | DEGROFF RX LLC
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 543 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3915
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Country | US
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Telephone | 860-225-6487
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Fax | 860-229-4488
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Provider Business Mailing Address
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Address Line | 543 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3915
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Country | US
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Telephone | 860-225-6487
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Fax | 860-229-4488
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Authorized Official
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Title or Position | OWNER
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Name | TODD DEGROFF
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Credential |
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Telephone | 860-225-6487
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PCY0000332
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License Number State | CT
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