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General NPI Number Information
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NPI Number | 1063187144
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Entity Type | Organization
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Legal Business Name | POLARIS PHARMACY SERVICES OF PENNSYLVANIA, LLC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2000 CLAIRTON RD
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City | WEST MIFFLIN
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State | PA
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Zip | 15122-3010
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Country | US
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Telephone | 412-655-2151
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Fax | 412-655-3635
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Provider Business Mailing Address
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Address Line | 2900 NW 60TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1774
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Country | US
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Telephone | 800-589-9747
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Fax | 954-923-9261
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Authorized Official
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Title or Position | CEO
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Name | DAVID ROMBRO
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Credential |
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Telephone | 800-589-9747
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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