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General NPI Number Information
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NPI Number | 1750485702
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Entity Type | Organization
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Legal Business Name | HALL BENEDICT DRUG CO II INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 767 ORANGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-2534
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Country | US
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Telephone | 203-562-5131
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Fax | 203-562-1007
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Provider Business Mailing Address
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Address Line | 767 ORANGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-2534
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Country | US
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Telephone | 203-562-5131
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Fax | 203-562-1007
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Authorized Official
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Title or Position | OWNER AND PHARMACIST
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Name | JACK APPELBAUM
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Credential |
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Telephone | 203-562-5131
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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 | PCY0000492
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License Number State | CT
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