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General NPI Number Information
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NPI Number | 1639613474
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Entity Type | Organization
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Legal Business Name | EZ PHARMACY LLC
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 3554 HULMEVILLE RD STE 101
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City | BENSALEM
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State | PA
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Zip | 19020-4366
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Country | US
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Telephone | 215-310-8087
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Fax | 215-940-9690
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Provider Business Mailing Address
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Address Line | PO BOX 714
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City | BENSALEM
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State | PA
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Zip | 19020-0714
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Country | US
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Telephone | 215-310-8087
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NEIL ANAND
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Credential | MD
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Telephone | 518-928-3087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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