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NPI 1902286545

NPI 1902286545 : WELLCURE LLC : AUDUBON, NJ

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General NPI Number Information
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    NPI Number           |    1902286545
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELLCURE LLC 
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Dates
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    Enumeration Date     |    06/08/2015
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    Last Update Date     |    07/19/2018
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Provider Practice Location Address
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    Address Line         |    26 S WHITE HORSE PIKE 
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    City                 |    AUDUBON
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    State                |    NJ
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    Zip                  |    08106-1303
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    Country              |    US
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    Telephone            |    856-288-2064
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    Fax                  |    856-288-2065
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Provider Business Mailing Address
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    Address Line         |    26 S WHITEHORSE PIKE 
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    City                 |    AUDUBON
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    State                |    NJ
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    Zip                  |    08106
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    Country              |    US
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    Telephone            |    856-288-2064
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    Fax                  |    856-288-2065
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |     ASHISH  SAXENA 
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    Credential           |    
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    Telephone            |    856-200-2064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    28RS00740900
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    License Number State |    NJ
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