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General NPI Number Information
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NPI Number | 1013420835
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Entity Type | Organization
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Legal Business Name | CARE-FILL LTC INC
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 28 CONNEAUT LAKE RD
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City | GREENVILLE
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State | PA
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Zip | 16125-2167
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Country | US
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Telephone | 724-588-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 28 CONNEAUT LAKE RD
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City | GREENVILLE
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State | PA
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Zip | 16125-2167
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Country | US
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Telephone | 724-588-6337
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRETTON CLARK WALBERG
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Credential | RPH
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Telephone | 724-612-2131
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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 | PP482755
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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