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General NPI Number Information
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NPI Number | 1881721736
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Entity Type | Organization
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Legal Business Name | TAYLOR DRUG LLC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 123 MADISON AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3314
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Country | US
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Telephone | 732-363-0144
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Fax | 732-886-2658
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Provider Business Mailing Address
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Address Line | 123 MADISON AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3314
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Country | US
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Telephone | 732-363-0144
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Fax | 732-886-2658
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. MEHUL PARIKH
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Credential |
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Telephone | 732-363-0144
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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 | 28RS00637400
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License Number State | NJ
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