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General NPI Number Information
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NPI Number | 1770625287
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Entity Type | Organization
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Legal Business Name | NEW ROXY DRUG STORE INC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 400 E GERMANTOWN PIKE
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444
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Country | US
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Telephone | 610-828-5200
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Fax | 610-828-5568
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Provider Business Mailing Address
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Address Line | 400 E GERMANTOWN PIKE
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444
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Country | US
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Telephone | 610-828-5200
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Fax | 610-828-5568
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIC YOU SHUP CHOI
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Credential |
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Telephone | 610-828-5200
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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 | PP412155L
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License Number State | PA
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