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General NPI Number Information
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NPI Number | 1295729960
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Entity Type | Organization
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Legal Business Name | E. H. BERNSTINE PHARMACY
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2424 WEST FOURTH ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-4298
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Country | US
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Telephone | 570-322-4665
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Fax | 570-322-0634
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Provider Business Mailing Address
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Address Line | 2424 WEST FOURTH ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-4298
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Country | US
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Telephone | 570-322-4665
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Fax | 570-322-0634
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Authorized Official
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Title or Position | OWNER
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Name | DONALD M RISHCOFF
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Credential | RPH
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Telephone | 570-322-4665
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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 | PP410637L
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License Number State | PA
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