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General NPI Number Information
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NPI Number | 1932244563
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Entity Type | Organization
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Legal Business Name | ROXY PHARMACY INC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 1275E STUYVESANT AVE
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City | UNION
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State | NJ
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Zip | 07083-3851
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Country | US
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Telephone | 973-242-8001
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Fax | 973-242-8004
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Provider Business Mailing Address
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Address Line | 1275E STUYVESANT AVE STE E
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City | UNION
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State | NJ
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Zip | 07083-3851
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Country | US
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Telephone | 973-242-8001
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Fax | 973-242-8004
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. ANSELM ANYANWU ESOMONU
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Credential | R.PH
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Telephone | 978-242-8001
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS0551300
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License Number State | NJ
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