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General NPI Number Information
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NPI Number | 1326683707
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Entity Type | Organization
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Legal Business Name | VISTA PHARMACY LLC
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 938 N 8TH ST
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City | READING
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State | PA
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Zip | 19604-2308
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Country | US
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Telephone | 610-927-6566
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Fax | 610-927-6566
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Provider Business Mailing Address
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Address Line | 938 N 8TH ST
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City | READING
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State | PA
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Zip | 19604-2308
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Country | US
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Telephone | 610-927-6566
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Fax | 610-927-5766
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Authorized Official
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Title or Position | OWNER
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Name | HARDIK PATEL
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Credential |
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Telephone | 610-927-6566
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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 |
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License Number State |
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