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General NPI Number Information
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NPI Number | 1285175851
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Entity Type | Organization
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Legal Business Name | KEYSTONE SAMS LLC
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 203 N BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-2409
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Country | US
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Telephone | 215-647-9308
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Fax | 215-361-2000
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Provider Business Mailing Address
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Address Line | 203 NORTH BROAD STREET
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City | LANSDALE
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State | PA
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Zip | 19446
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Country | US
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Telephone | 215-647-9308
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Fax | 215-361-2000
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Authorized Official
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Title or Position | DIRECTOR AND PRINCIPAL OFFICER
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Name | MARKUS MENZLER
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Credential |
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Telephone | 267-663-8336
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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 | PP482706
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License Number State | PA
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