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NPI Code Detail

MEDICARE: DIAMOND DRUGS INC

MEDICARE: DIAMOND DRUGS 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
13336L0003XLong Term Care PharmacyPP413860LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12081754OTHERPK

General Provider Information

NPI Number : 1366590358
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAMOND DRUGS INC
Provider Business Mailing Address
First Line : 645 KOLTER DR
Second Line :
City : INDIANA
State : PA
Zip : 15701-3570
Country : US
Telephone Number : 724-349-1111
Fax Number : 724-349-2984
Provider Business Practice Location Address
First Line : 900 E KING ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-3272
Country : US
Telephone Number : 717-299-7875
Fax Number : 717-209-3030
Authorized Official
Title or Position : CFO
Name : LOUANN BOWSER
Credential :
Telephone Number : 724-349-1111
Provider Enumeration Date : 01/08/2007
Last Update Date : 08/22/2016

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Directions to “DIAMOND DRUGS INC ” Practice Location

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