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General NPI Number Information
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NPI Number | 1841565421
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Entity Type | Organization
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Legal Business Name | SLV PHARMACY INC
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 107 STATE ROUTE 10 E
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1430
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Country | US
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Telephone | 973-584-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 107 STATE ROUTE 10 E
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1430
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Country | US
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Telephone | 973-584-4200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA MADDALI
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Credential |
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Telephone | 973-586-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 28RS00558600
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License Number State | NJ
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