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General NPI Number Information
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NPI Number | 1962400804
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Entity Type | Organization
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Legal Business Name | THE CENTER PHARMACY
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1930 ROUTE 70 E STE U-104
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-489-3256
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Fax | 856-489-3258
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Provider Business Mailing Address
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Address Line | 1930 ROUTE 70 E STE U-104
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-489-3256
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Fax | 856-489-3258
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD C FORDHAM
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Credential | PHARM D
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Telephone | 856-489-3256
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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 | 28R500640100
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License Number State | NJ
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