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General NPI Number Information
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NPI Number | 1770193757
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Entity Type | Organization
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Legal Business Name | RVL PHARMACY
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 2500 MAIN ST STE 10
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City | SAYREVILLE
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State | NJ
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Zip | 08872-1473
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Country | US
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Telephone | 844-785-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 MAIN ST STE 10
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City | SAYREVILLE
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State | NJ
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Zip | 08872-1473
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Country | US
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Telephone | 844-785-3937
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Fax | 844-567-3937
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Authorized Official
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Title or Position | DIRECTOR PHARMACY OPERATIONS
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Name | GARETT CERMELE
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Credential | RPH
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Telephone | 908-377-3307
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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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