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General NPI Number Information
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NPI Number | 1265693063
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Entity Type | Organization
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Legal Business Name | WALNUT HILL PHARMACY LLC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 150 WALNUT HILL RD
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City | UNIONTOWN
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State | PA
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Zip | 15401-5090
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Country | US
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Telephone | 724-438-7455
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Fax | 724-438-7450
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Provider Business Mailing Address
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Address Line | 150 WALNUT HILL RD
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City | UNIONTOWN
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State | PA
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Zip | 15401-5090
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Country | US
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Telephone | 724-438-7455
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Fax | 724-438-7450
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Authorized Official
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Title or Position | VP PRESIDENT
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Name | JAMIE FINCKE
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Credential | RPH
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Telephone | 724-438-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481833
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License Number State | PA
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