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General NPI Number Information
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NPI Number | 1760679245
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Entity Type | Organization
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Legal Business Name | MEDRITE COM INC
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 40 E MAIN ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-4915
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Country | US
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Telephone | 610-277-7655
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Fax | 610-277-7833
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Provider Business Mailing Address
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Address Line | 3200 N FEDERAL HWY STE 2067
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City | BOCA RATON
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State | FL
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Zip | 33431-6035
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EDWARD STANKO
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Credential |
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Telephone | 561-394-3465
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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 | PP481675
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License Number State | PA
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