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NPI Code Detail

MEDICARE: DRUG FAIR GROUP, INC.

MEDICARE: DRUG FAIR GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy5078NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972595262
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRUG FAIR GROUP, INC.
Provider Business Mailing Address
First Line : 800 COTTONTAIL LN
Second Line :
City : SOMERSET
State : NJ
Zip : 08873-1227
Country : US
Telephone Number : 732-748-8900
Fax Number : 732-868-4172
Provider Business Practice Location Address
First Line : 342 CLAREMONT AVE
Second Line :
City : VERONA
State : NJ
Zip : 07044-2140
Country : US
Telephone Number : 973-857-5558
Fax Number : 973-509-5669
Authorized Official
Title or Position : V.P. PHARMACY
Name : MR. EDWARD G MCGINLEY
Credential : R.PH.
Telephone Number : 732-748-8900
Provider Enumeration Date : 08/22/2005
Last Update Date : 02/03/2009

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