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General NPI Number Information
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NPI Number | 1538590690
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Entity Type | Organization
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Legal Business Name | ASPN PHARMACIES, LLC
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 290 W MT PLEASANT AVE BLDG 2, 4TH FLOOR, STE 4210
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 844-267-3251
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Fax | 866-581-1351
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Provider Business Mailing Address
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Address Line | 290 W MT PLEASANT AVE BLDG 2, 4TH FLOOR, STE 4210
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-564-8004
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Fax | 866-581-1351
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | SUNGJAE ANDREW LEE
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Credential | PHARMD
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Telephone | 973-564-8004
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00728600
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License Number State | NJ
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