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General NPI Number Information
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NPI Number | 1689920498
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Entity Type | Organization
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Legal Business Name | PEGASUS PHARMACY LLC
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2050 SPRINGDALE RD UNIT 500
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2045
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Country | US
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Telephone | 856-528-3900
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Fax | 856-424-2096
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Provider Business Mailing Address
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Address Line | 2050 SPRINGDALE RD. UNIT 500
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City | CHERRY HILL
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State | NJ
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Zip | 08003
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Country | US
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Telephone | 856-528-3900
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Fax | 856-424-2096
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOEL MORTON
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Credential | RPH
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Telephone | 602-561-6432
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 28RS00723000
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License Number State | NJ
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