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General NPI Number Information
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NPI Number | 1225221112
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Entity Type | Organization
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Legal Business Name | DARRENKAMPS MT JOY MARKET INC
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 191 RIDGEVIEW RD S
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9502
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Country | US
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Telephone | 717-367-2212
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Fax | 717-367-3772
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Provider Business Mailing Address
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Address Line | 191 RIDGEVIEW RD S
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9502
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Country | US
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Telephone | 717-367-2212
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Fax | 717-367-3772
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | SCOTT HERSHEY
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Credential | PHARMD
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Telephone | 717-367-2212
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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 | PP481747
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License Number State | PA
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