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General NPI Number Information
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NPI Number | 1609057116
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Entity Type | Organization
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Legal Business Name | DRUGFAIR OF BRIDGEWATER
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 481 EAST UNION AVE 28
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City | BRIDGEWATER
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State | NJ
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Zip | 08807
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Country | US
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Telephone | 908-722-7001
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Fax | 908-722-7006
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Provider Business Mailing Address
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Address Line | 481 EAST UNION AVE 28
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City | BRIDGEWATER
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State | NJ
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Zip | 08807
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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 | V.P. PHARMACY
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Name | MR. EDWARD G. MCGINLEY
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Credential |
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Telephone | 732-748-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00675100
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License Number State | NJ
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