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General NPI Number Information
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NPI Number | 1790242428
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Entity Type | Organization
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Legal Business Name | PHARMACY TOWN LLC
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 1590 HIGHWAY 35
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City | OCEAN
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State | NJ
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Zip | 07712-3521
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Country | US
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Telephone | 732-493-5100
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Fax | 732-493-5103
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Provider Business Mailing Address
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Address Line | 1590 HIGHWAY 35
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City | OCEAN
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State | NJ
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Zip | 07712-3521
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Country | US
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Telephone | 973-931-1018
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. DEV TAILOR
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Credential | PHARM D
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Telephone | 973-931-1018
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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 |
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License Number State |
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