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General NPI Number Information
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NPI Number | 1104571678
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Entity Type | Organization
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Legal Business Name | BARTLES PHARMACY INC
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 10 LAFAYETTE PARK
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City | OXFORD
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State | NY
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Zip | 13830
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Country | US
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Telephone | 607-843-2841
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Fax | 607-843-6874
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Provider Business Mailing Address
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Address Line | PO BOX 630
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City | OXFORD
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State | NY
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Zip | 13830-0630
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Country | US
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Telephone | 607-843-2841
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Fax | 607-843-6874
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST,OWNER
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Name | HEATHER L. FERRARESE
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Credential | PHARMD
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Telephone | 607-843-2841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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