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General NPI Number Information
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NPI Number | 1659416378
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Entity Type | Organization
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Legal Business Name | SEIFERTS PHARMACY LLC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 6801 PARK AVENUE
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City | GUTTENBERG
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State | NJ
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Zip | 07093-4405
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Country | US
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Telephone | 201-861-2333
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Fax | 201-861-2477
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Provider Business Mailing Address
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Address Line | 6801 PARK AVENUE
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City | GUTTENBERG
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State | NJ
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Zip | 07093-4405
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Country | US
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Telephone | 201-861-2333
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Fax | 201-861-2477
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Authorized Official
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Title or Position | OWNER AUTHORIZED OFFICIAL
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Name | ROBERT N. PICCA
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Credential | RPH
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Telephone | 201-861-2333
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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 | 28RS00019800
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License Number State | NJ
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