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General NPI Number Information
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NPI Number | 1093046856
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Entity Type | Organization
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Legal Business Name | COORDINATED PHARMACY SERVICES INC
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 3910 ADLER PLACE STE 220
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City | ALLENTOWN
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State | PA
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Zip | 18104-2308
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Country | US
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Telephone | 484-860-3131
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Fax | 484-860-3133
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Provider Business Mailing Address
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Address Line | 3910 ADLER PLACE STE 220
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 484-860-3131
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Fax | 484-860-3133
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN PETRONE
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Credential |
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Telephone | 484-860-3131
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481957
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License Number State | PA
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