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General NPI Number Information
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NPI Number | 1245300201
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Entity Type | Organization
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Legal Business Name | HOMER CITY PHARMACY, INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 237 WASHINGTON ST
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City | SALTSBURG
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State | PA
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Zip | 15681-1131
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Country | US
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Telephone | 724-639-9022
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Fax | 724-639-3535
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Provider Business Mailing Address
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Address Line | 237 WASHINGTON ST
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City | SALTSBURG
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State | PA
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Zip | 15681-1131
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Country | US
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Telephone | 724-639-9022
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Fax | 724-639-3535
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. DAVID EDWARD MATEER
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Credential | RPH
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Telephone | 724-639-9022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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