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General NPI Number Information
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NPI Number | 1568760114
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Entity Type | Organization
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Legal Business Name | DRUG STORES II LLC
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 162 SUMMERHILL RD SUITE D
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4929
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Country | US
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Telephone | 609-308-2828
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Fax | 800-307-1779
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Provider Business Mailing Address
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Address Line | 162 SUMMERHILL RD SUITE D
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4929
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Country | US
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Telephone | 609-308-2832
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Fax | 800-307-1779
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Authorized Official
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Title or Position | COO
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Name | PIUSHBHAI PATEL
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Credential | RPH
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Telephone | 800-307-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00710600
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License Number State | NJ
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