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General NPI Number Information
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NPI Number | 1619657731
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Entity Type | Organization
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Legal Business Name | HOMETOWN RX CORPORATION
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 2940 YORKSHIP SQ
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City | CAMDEN
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State | NJ
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Zip | 08104-2857
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Country | US
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Telephone | 856-541-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 YORKSHIP SQ
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City | CAMDEN
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State | NJ
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Zip | 08104-2857
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Country | US
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Telephone | 856-541-2990
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD A HASHIM
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Credential |
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Telephone | 732-351-3940
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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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