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General NPI Number Information
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NPI Number | 1285304386
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Entity Type | Organization
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Legal Business Name | JOE'S PHARMACY SERVICES
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 2401 PENNSYLVANIA AVE STE 1D7
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3000
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Country | US
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Telephone | 215-642-2422
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Fax | 267-792-3197
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Provider Business Mailing Address
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Address Line | 2401 PENNSYLVANIA AVE STE 1D7
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3000
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Country | US
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Telephone | 215-642-2422
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Fax | 267-792-3197
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS MICHAEL CZERW
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Credential | PHARMD
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Telephone | 215-642-2422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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