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General NPI Number Information
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NPI Number | 1639225899
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION SHOPPE INC
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 378 BROADWAY
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City | EVERETT
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State | MA
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Zip | 02149-3426
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Country | US
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Telephone | 617-389-7440
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Fax | 617-389-1004
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Provider Business Mailing Address
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Address Line | 378 BROADWAY
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City | EVERETT
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State | MA
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Zip | 02149-3426
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Country | US
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Telephone | 617-389-7440
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Fax | 617-389-1004
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Authorized Official
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Title or Position | AUTHORIZED REP/OWNER
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Name | VASHKAR KARIM
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Credential |
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Telephone | 617-240-0271
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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 | DS6654
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License Number State | MA
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