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General NPI Number Information
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NPI Number | 1568179489
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Entity Type | Organization
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Legal Business Name | CARELONRX PHARMACY INC.
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 4821 N STONE AVE STE C
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City | TUCSON
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State | AZ
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Zip | 85704-5727
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Country | US
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Telephone | 844-947-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 450 HEADQUARTERS PLAZA SUITE 710, EAST TOWER, 7TH FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CLAYTON D EDWARDS
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Credential |
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Telephone | 772-631-7376
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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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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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