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General NPI Number Information
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NPI Number | 1134175581
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Entity Type | Organization
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Legal Business Name | GEISINGER PHARMACY LLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 44 WOODBINE LN
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City | DANVILLE
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State | PA
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Zip | 17821-8020
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Country | US
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Telephone | 570-214-8503
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Fax | 570-271-5843
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE # MC24-01
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City | DANVILLE
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State | PA
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Zip | 17822-2401
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Country | US
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Telephone | 570-214-8503
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Fax | 570-271-7953
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Authorized Official
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Title or Position | VP ENTERPRISE PHARMACY
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Name | MICHAEL EVANS
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Credential |
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Telephone | 570-271-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | PP414060L
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License Number State | PA
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Taxonomy #2
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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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