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General NPI Number Information
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NPI Number | 1720110448
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Entity Type | Organization
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Legal Business Name | PERKINS UNION CENTER PHARMACY
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 1023 STUYVESANT AVE
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City | UNION
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State | NJ
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Zip | 07083
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Country | US
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Telephone | 908-686-0876
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 STUYVESANT AVE
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City | UNION
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State | NJ
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Zip | 07083
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Country | US
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Telephone | 908-686-0876
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Fax |
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | MR. ALLEN CHARLES HODAPP
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Credential | PHARMACIST
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Telephone | 908-686-0876
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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 | 28RS00121300
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License Number State | NJ
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