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General NPI Number Information
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NPI Number | 1558041020
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Entity Type | Organization
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Legal Business Name | PAYLESS PHARMACY LLC
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 222 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-4220
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Country | US
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Telephone | 908-587-2000
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Fax | 908-357-2960
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Provider Business Mailing Address
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Address Line | 222 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-4220
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Country | US
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Telephone | 908-587-2000
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Fax | 908-357-2960
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MOHAMMED KHEDR
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Credential | RPH
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Telephone | 908-587-2000
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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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