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General NPI Number Information
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NPI Number | 1235261405
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Entity Type | Organization
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Legal Business Name | FOUNTAIN HILL PHARMACY INC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1049 BROADWAY
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City | FOUNTAIN HILL
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State | PA
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Zip | 18015-4148
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Country | US
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Telephone | 610-866-6737
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Fax | 610-866-8309
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Provider Business Mailing Address
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Address Line | 1049 BROADWAY
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City | FOUNTAIN HILL
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State | PA
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Zip | 18015-4148
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Country | US
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Telephone | 610-866-6737
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Fax | 610-866-8309
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Authorized Official
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Title or Position | PHARMACIST PRESIDENT
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Name | NICHOLAS CHAFFIER
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Credential | R.PH.
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Telephone | 610-866-6737
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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 | PP411106L
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License Number State | PA
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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 | PP411106L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP411106L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PP411106L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PP411106L
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License Number State | PA
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