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General NPI Number Information
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NPI Number | 1629140322
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Entity Type | Organization
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Legal Business Name | POETS PHARMACY CORPORATION
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 460 COUNTY ROAD 520
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City | MARLBORO
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State | NJ
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Zip | 07746-1041
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Country | US
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Telephone | 732-946-9173
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Fax | 732-946-4194
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Provider Business Mailing Address
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Address Line | 460 COUNTY ROAD 520
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City | MARLBORO
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State | NJ
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Zip | 07746-1041
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Country | US
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Telephone | 732-946-9173
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Fax | 732-946-4194
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Authorized Official
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Title or Position | RPH OWNER
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Name | MR. ELI KORN
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Credential | RPH
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Telephone | 732-946-9173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RS00573800
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License Number State | NJ
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