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General NPI Number Information
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NPI Number | 1811418940
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Entity Type | Organization
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Legal Business Name | KURE RX INC
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 1156 ALBANY AVE
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City | HARTFORD
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State | CT
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Zip | 06112-2393
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Country | US
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Telephone | 860-206-3890
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Fax | 860-906-1428
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Provider Business Mailing Address
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Address Line | 27 BEECHER LN
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City | ROCKY HILL
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State | CT
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Zip | 06067-3239
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Country | US
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Telephone | 860-655-1988
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ANTHONY AJEGBA
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Credential | RPH
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Telephone | 860-655-1988
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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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