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General NPI Number Information
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NPI Number | 1952453631
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Entity Type | Organization
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Legal Business Name | DEVINE'S PHARMACY, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1949 OAK TREE RD
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City | EDISON
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State | NJ
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Zip | 08820-2036
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Country | US
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Telephone | 732-549-7117
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Fax | 732-549-7080
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Provider Business Mailing Address
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Address Line | 1949 OAK TREE RD
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City | EDISON
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State | NJ
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Zip | 08820-2036
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Country | US
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Telephone | 732-549-7117
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Fax | 732-549-7080
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ABAID CHEEMA
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Credential | R.PH.
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Telephone | 347-543-3955
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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 | 28RS00426100
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License Number State | NJ
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