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General NPI Number Information
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NPI Number | 1669247219
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Entity Type | Organization
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Legal Business Name | FORWARD RX LLC
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 809 3RD AVE
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City | NEW BRIGHTON
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State | PA
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Zip | 15066-1914
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Country | US
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Telephone | 724-246-6257
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Fax | 724-581-4588
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Provider Business Mailing Address
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Address Line | 809 3RD AVE
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City | NEW BRIGHTON
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State | PA
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Zip | 15066-1914
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Country | US
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Telephone | 724-246-6257
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Fax | 724-581-4588
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRANDON ANTINOPOULOS
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Credential | PHARMD
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Telephone | 724-601-2237
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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 |
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License Number State |
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