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General NPI Number Information
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NPI Number | 1134652902
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Entity Type | Organization
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Legal Business Name | POCONO PHARMACY INC
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 300 COMMERCE BLVD STE 130
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City | STROUDSBURG
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State | PA
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Zip | 18360-6215
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Country | US
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Telephone | 570-421-6789
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Fax | 570-421-9992
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Provider Business Mailing Address
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Address Line | 300 COMMERCE BLVD SUITE # 130
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City | STROUDSBURG
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State | PA
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Zip | 18360
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Country | US
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Telephone | 570-421-6789
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Fax | 570-421-9992
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | VENUGOPAL NARRAMNENI
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Credential |
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Telephone | 570-421-6789
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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 |
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License Number State |
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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 | PP482715
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License Number State | PA
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