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General NPI Number Information
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NPI Number | 1104978584
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Entity Type | Organization
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Legal Business Name | HEALTHY COMMUNITY PHARMACY
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 160 ROOSEVELT AVE SUITE 102
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City | YORK
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State | PA
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Zip | 17401-3378
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Country | US
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Telephone | 717-812-3020
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Fax | 717-848-2658
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Provider Business Mailing Address
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Address Line | 160 ROOSEVELT AVE SUITE 102
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City | YORK
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State | PA
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Zip | 17401-3378
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Country | US
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Telephone | 717-812-3020
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Fax | 717-848-2658
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Authorized Official
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Title or Position | DIRECTOR - WELLSPAN PHARMACY INC.
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Name | MRS. MELLISA MOOK
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Credential |
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Telephone | 717-851-5895
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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 | PP481364
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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 | PP481364
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License Number State | PA
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