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General NPI Number Information
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NPI Number | 1588033641
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Entity Type | Organization
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Legal Business Name | PHARMACEUTICAL PRESCRIPTION SERVICE, LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 155 JEFFERSON ST
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City | NEWARK
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State | NJ
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Zip | 07105-1706
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Country | US
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Telephone | 973-491-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 155 JEFFERSON ST
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City | NEWARK
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State | NJ
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Zip | 07105-1706
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Country | US
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Telephone | 973-491-9000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA LEE FRIEDMAN
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Credential |
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Telephone | 973-491-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 28RS00743700
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License Number State | NJ
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