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General NPI Number Information
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NPI Number | 1922181874
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Entity Type | Organization
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Legal Business Name | ST. PETER'S PHARMACY & DRUGS LLC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1000 WASHINGTON STREET
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City | HOBOKEN
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State | NJ
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Zip | 07030
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Country | US
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Telephone | 201-659-8492
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Fax | 201-659-0350
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Provider Business Mailing Address
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Address Line | 1000 WASHINGTON STREET
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City | HOBOKEN
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State | NJ
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Zip | 07030
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Country | US
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Telephone | 201-659-8492
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Fax | 201-659-0350
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. WAEL NABIL ISAAC
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Credential | RPH
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Telephone | 201-659-8492
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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 | 28RS00699900
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License Number State | NJ
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