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General NPI Number Information
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NPI Number | 1164341996
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Entity Type | Organization
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Legal Business Name | PAXTON PHARMACY LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 1000 S 19TH ST STE A
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City | HARRISBURG
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State | PA
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Zip | 17104-2910
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Country | US
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Telephone | 717-547-9700
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Fax | 717-547-9788
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Provider Business Mailing Address
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Address Line | 1000 S 19TH ST STE A
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City | HARRISBURG
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State | PA
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Zip | 17104-2910
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Country | US
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Telephone | 717-547-9700
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Fax | 717-547-9788
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMED A SALEM
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Credential | RPH
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Telephone | 717-230-1231
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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