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General NPI Number Information
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NPI Number | 1053640821
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Entity Type | Organization
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Legal Business Name | W PA ONSITERX
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 330 PERRY HWY
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City | HARMONY
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State | PA
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Zip | 16037-9790
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Country | US
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Telephone | 724-452-4026
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | FORNEY
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State | TX
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Zip | 75126-0190
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Country | US
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Telephone | 972-552-5599
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Fax |
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Authorized Official
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Title or Position | PHARMACIST MANAGER
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Name | CATHERINE WOODS COAST
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Credential | PHARMD
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Telephone | 724-456-4288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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