{
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"OrgName": "GEISINGER PHARMACY, LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "100 N ACADEMY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DANVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17822-2575",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-271-7965",
"MailingAddressFaxNumber": "570-271-7370",
"FirstLinePracticeLocationAddress": "10 GATEWAY DR",
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"PracticeLocationAddressCityName": "REEDSVILLE",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-363-9315",
"PracticeLocationAddressFaxNumber": "717-363-9316",
"EnumerationDate": "01/11/2007",
"LastUpdateDate": "12/31/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EVANS",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialTitle": "VP ENTERPRISE PHARMACY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "570-271-6192",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}