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General NPI Number Information
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NPI Number | 1184724155
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Entity Type | Organization
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Legal Business Name | DUNCANSVILLE PHARMACY INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 1328 3RD AVE
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-1247
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Country | US
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Telephone | 814-695-8065
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Fax | 814-693-2770
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-0126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHARMACIST
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Name | RONALD DICK
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Credential | RPH
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Telephone | 814-695-8065
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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 | PP410902L
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License Number State | PA
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