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General NPI Number Information
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NPI Number | 1558049056
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Entity Type | Organization
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Legal Business Name | PHARMACY EXPRESS INC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 991 MAIN ST STE 1B
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City | PATERSON
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State | NJ
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Zip | 07503-2274
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Country | US
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Telephone | 570-590-7819
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Fax |
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Provider Business Mailing Address
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Address Line | 991 MAIN ST STE 1B
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City | PATERSON
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State | NJ
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Zip | 07503-2274
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Country | US
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Telephone | 570-590-7819
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEMHA DEMIR
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Credential |
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Telephone | 570-590-7819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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