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General NPI Number Information
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NPI Number | 1669532016
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Entity Type | Organization
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Legal Business Name | NORTH COUNTRY DRUG INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 190 MUNSONHURST RD
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City | FRANKLIN
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State | NJ
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Zip | 07416-1814
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Country | US
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Telephone | 973-827-7340
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Fax | 973-827-7833
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Provider Business Mailing Address
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Address Line | PO BOX 293
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City | FRANKLIN
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State | NJ
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Zip | 07416-0293
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Country | US
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Telephone | 973-827-7340
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Fax | 973-827-7833
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. VIJAY PARIKH
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Credential |
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Telephone | 973-827-7340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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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 | 28RS00638600
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License Number State | NJ
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