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General NPI Number Information
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NPI Number | 1639507767
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Entity Type | Organization
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Legal Business Name | QUICK MED PHARMACY
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 1221 MAIN ST
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City | ASBURY PARK
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State | NJ
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Zip | 07712-5940
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Country | US
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Telephone | 732-692-7986
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Fax | 732-897-1515
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Provider Business Mailing Address
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Address Line | 1221 MAIN ST
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City | ASBURY PARK
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State | NJ
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Zip | 07712-5940
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Country | US
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Telephone | 732-692-7986
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. KIRAN VENIGALLA
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Credential | RPH
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Telephone | 732-692-7986
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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 |
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License Number State | NJ
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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 |
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License Number State | NJ
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