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General NPI Number Information
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NPI Number | 1801670518
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Entity Type | Organization
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Legal Business Name | PRINCETON PIKE RX LLC
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 3100 PRINCETON PIKE STE 4B
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2376
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Country | US
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Telephone | 609-450-3740
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Fax | 609-450-3741
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Provider Business Mailing Address
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Address Line | 3100 PRINCETON PIKE STE 4B
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2376
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Country | US
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Telephone | 609-450-3740
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Fax | 609-450-3741
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Authorized Official
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Title or Position | OWNER
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Name | HYUNG SEOK LEE
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Credential | PHARM D
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Telephone | 609-450-3740
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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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