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General NPI Number Information
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NPI Number | 1114180585
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Entity Type | Organization
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Legal Business Name | FRIENDLY CITY PHARMACY, INC
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 81 OSBORNE ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4130
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Country | US
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Telephone | 814-539-7995
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Fax | 814-534-0864
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Provider Business Mailing Address
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Address Line | 81 OSBORNE ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4130
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Country | US
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Telephone | 814-539-7995
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Fax | 814-534-0864
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Authorized Official
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Title or Position | PIC / PRESIDENT
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Name | MR. SCOTT A WARSHEL
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Credential | RPH
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Telephone | 814-266-5441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP414720L
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License Number State | PA
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