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General NPI Number Information
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NPI Number | 1518948413
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Entity Type | Organization
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Legal Business Name | CAREMARK, L.L.C.
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 180 PASSAIC AVE
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City | FAIRFIELD
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State | NJ
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Zip | 07004-3516
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Country | US
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Telephone | 800-447-4791
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Fax | 800-266-1644
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Provider Business Mailing Address
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Address Line | PO BOX 840688
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City | DALLAS
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State | TX
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Zip | 75284-0688
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Country | US
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Telephone | 800-225-5967
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Fax | 909-799-4364
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DAVID W. GOLDING
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Credential |
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Telephone | 800-225-5967
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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 | 28RS00517800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 28RS00517800
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License Number State | NJ
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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