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General NPI Number Information
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NPI Number | 1770648024
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Entity Type | Organization
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Legal Business Name | TOWNE PHARMACY INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 201 BELLEVUE AVE
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City | HAMMONTON
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State | NJ
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Zip | 08037-1721
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Country | US
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Telephone | 609-561-0699
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BELLEVUE AVE
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City | HAMMONTON
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State | NJ
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Zip | 08037-1721
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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 | CHIEF PHARMACIST
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Name | DONNA LEONARDIS
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Credential |
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Telephone | 609-561-0699
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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 | 28RS00022400
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License Number State | NJ
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