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General NPI Number Information
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NPI Number | 1578686077
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Entity Type | Organization
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Legal Business Name | FRIENDSHIP PHARMACY INC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 212 BLOOMFIELD AVE
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City | NEWARK
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State | NJ
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Zip | 07104
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Country | US
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Telephone | 973-484-0643
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Fax | 973-484-0751
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Provider Business Mailing Address
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Address Line | 212 BLOOMFIELD AVE FRIENDSHIP PHARMACY INC
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City | NEWARK
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State | NJ
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Zip | 07104
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Country | US
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Telephone | 973-484-0643
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Fax | 973-484-0751
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Authorized Official
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Title or Position | RPH INCHARGED OWNER
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Name | JOSEPH MBAKEM AKAH
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Credential | RPH
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Telephone | 973-484-0643
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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 | 28S00517600
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License Number State | NJ
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