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General NPI Number Information
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NPI Number | 1114107216
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Entity Type | Organization
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Legal Business Name | LIZZA PHARMACEUTICAL LLC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 278 MCCLELLANDTOWN ROAD
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City | UNIONTOWN
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State | PA
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Zip | 15401
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Country | US
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Telephone | 724-437-5070
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Fax | 724-437-7808
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Provider Business Mailing Address
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Address Line | 40 WIGHT AVE STE 100
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2148
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Country | US
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Telephone | 667-408-7767
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Fax | 724-437-7808
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Authorized Official
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Title or Position | COO
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Name | DANIEL MANDOLI
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Credential |
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Telephone | 314-494-7493
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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 | PP481698
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License Number State | PA
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