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General NPI Number Information
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NPI Number | 1174417927
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Entity Type | Organization
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Legal Business Name | WESCLARE CORPORATION
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 6039 NATIONAL PIKE
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City | GRINDSTONE
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State | PA
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Zip | 15442-1107
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Country | US
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Telephone | 724-785-4522
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Fax | 724-785-2863
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Provider Business Mailing Address
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Address Line | 3 NICKMAN PLZ
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City | LEMONT FURNACE
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State | PA
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Zip | 15456-9732
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Country | US
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Telephone | 724-780-2021
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Fax | 844-309-9254
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES WESLEY NICKMAN JR.
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Credential |
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Telephone | 724-780-2021
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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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