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General NPI Number Information
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NPI Number | 1528539822
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Entity Type | Organization
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Legal Business Name | NEPTUNE RX LLC
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Dates
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Enumeration Date | 12/12/2018
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | WEST LAKE PHARMACY 1828 WEST LAKE AVENUE
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-455-5885
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Fax | 732-455-5887
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Provider Business Mailing Address
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Address Line | WEST LAKE PHARMACY 1828 WEST LAKE AVENUE
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-455-5885
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Fax | 732-455-5887
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Authorized Official
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Title or Position | MEMBER/ OWNER
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Name | VISHAL SOOD
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Credential | RPH
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Telephone | 917-710-0940
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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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