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General NPI Number Information
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NPI Number | 1982799524
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Entity Type | Organization
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Legal Business Name | M R PHARMACY INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 1990 WASHINGTON VALLEY RD
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City | MARTINSVILLE
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State | NJ
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Zip | 08836
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Country | US
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Telephone | 732-469-0777
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Fax | 732-469-0778
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Provider Business Mailing Address
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Address Line | 1990 WASHINGTON VALLEY RD PO BOX 105
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City | MARTINSVILLE
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State | NJ
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Zip | 08836
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Country | US
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Telephone | 732-469-0777
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Fax | 732-469-0778
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | MOHIT SOOD
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Credential | RPH
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Telephone | 732-469-0777
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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 | 28RS00664400
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License Number State | NJ
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