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General NPI Number Information
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NPI Number | 1902214505
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 07/27/2014
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Last Update Date | 07/27/2014
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Provider Practice Location Address
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Address Line | 1015 SPRINGFIELD AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-2024
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Country | US
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Telephone | 973-372-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 SPRINGFIELD AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-2024
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Country | US
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Telephone | 973-372-3010
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MISS LUYANG CHEN
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Credential | R,PH
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Telephone | 973-372-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03419100
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License Number State | NJ
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