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General NPI Number Information
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NPI Number | 1902847619
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Entity Type | Organization
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Legal Business Name | RIDGEMONT DRUGS LLC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 197 KINDERKAMACK RD
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City | PARK RIDGE
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State | NJ
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Zip | 07656-1335
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Country | US
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Telephone | 201-391-3232
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Fax | 201-930-9672
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Provider Business Mailing Address
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Address Line | 197 KINDERKAMACK RD
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City | PARK RIDGE
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State | NJ
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Zip | 07656-1335
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Country | US
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Telephone | 201-391-3232
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Fax | 201-930-9672
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. ARTHUR SCOT BARTHOLD
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Credential | R.PH.
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Telephone | 201-391-3232
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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 | 5743
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License Number State | NJ
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