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NPI 1710267059

NPI 1710267059 : S & V SERVICES OF NJ, INC : SECAUCUS, NJ

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General NPI Number Information
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    NPI Number           |    1710267059
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    Entity Type          |    Organization 
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    Legal Business Name  |    S & V SERVICES OF NJ, INC 
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Dates
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    Enumeration Date     |    08/18/2011
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    Last Update Date     |    07/22/2014
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Provider Practice Location Address
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    Address Line         |    55 MEADOWLANDS PARKWAY 
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    City                 |    SECAUCUS
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    State                |    NJ
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    Zip                  |    07094
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    Country              |    US
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    Telephone            |    201-235-6700
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    Fax                  |    201-392-3544
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Provider Business Mailing Address
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    Address Line         |    55 MEADOWLANDS PARKWAY PHARMACY 
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    City                 |    SECAUCUS
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    State                |    NJ
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    Zip                  |    07094
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    Country              |    US
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    Telephone            |    201-325-6700
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    Fax                  |    201-392-3544
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. IRINA  MARQUIS 
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    Credential           |    
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    Telephone            |    201-325-6700
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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       |    28RS00714900
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    License Number State |    NJ
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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       |    
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    License Number State |    
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