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Organization
DRUG FAIR OF EAST RUTHERFOD
Active
Organization
DRUG FAIR OF EAST RUTHERFOD
Active
Other names
DRUG FAIR OF EAST RUTHERFORD
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LABEAU (CEO)
(732) 748-8900
Entity
Organization
Contact information
Practice address
LIBERTY COMMONS 51 ROUTE 17 SOUTH, EAST RUTHERFORD, NJ 07073
(201) 531-9901
(210) 531-9919
Mailing address
LIBERTY COMMONS 51 ROUTE 17 SOUTH, EAST RUTHERFORD, NJ 07073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00678400
NJ
Other
Enumeration date
02/26/2008
Last updated
04/09/2008
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