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General NPI Number Information
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NPI Number | 1649692062
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Entity Type | Organization
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Legal Business Name | MEDIMAX PHARMACY, INC.
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 580 MARSHALL ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2629
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Country | US
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Telephone | 908-454-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 580 MARSHALL ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2629
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Country | US
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Telephone | 908-454-4777
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Fax | 908-454-3663
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE/OWNER
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Name | RASHID NAVEED
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Credential |
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Telephone | 908-454-4777
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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 | 28RS00731000
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License Number State | NJ
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