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General NPI Number Information
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NPI Number | 1336249309
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Entity Type | Organization
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Legal Business Name | PALMER PHARMACY INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 2083 RT 96
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City | TRUMANSBURG
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State | NY
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Zip | 14886
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Country | US
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Telephone | 607-387-6728
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Fax | 607-387-7045
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Provider Business Mailing Address
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Address Line | PO BOX 1048
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City | TRUMANSBURG
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State | NY
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Zip | 14886
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Country | US
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Telephone | 607-387-6728
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Fax | 607-387-7045
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Authorized Official
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Title or Position | OWNER CEO
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Name | MR. DARREN JAMES PALMER
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Credential | RPH MBA
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Telephone | 315-730-0534
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 026807
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License Number State | NY
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