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General NPI Number Information
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NPI Number | 1205837325
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Entity Type | Organization
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Legal Business Name | A.A. DISPENSARY INC.
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 6552 TORRESDALE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19135-2822
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Country | US
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Telephone | 215-338-3262
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Fax | 215-338-1185
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Provider Business Mailing Address
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Address Line | 6552 TORRESDALE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19135-2822
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Country | US
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Telephone | 215-338-3262
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Fax | 215-338-1185
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Authorized Official
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Title or Position | PRES
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Name | DONNA HORGER
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Credential | RPH
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Telephone | 215-338-3262
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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 | PP410263L
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License Number State | PA
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