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General NPI Number Information
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NPI Number | 1336351949
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Entity Type | Organization
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Legal Business Name | WERNERSVILLE STATE HOSPITAL PHARMACY
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 160 MAIN ST
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City | WERNERSVILLE
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State | PA
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Zip | 19565-9490
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Country | US
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Telephone | 610-670-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 160 MAIN ST
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City | WERNERSVILLE
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State | PA
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Zip | 19565-9490
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Country | US
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Telephone | 610-670-4115
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATTI A. EISNER
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Credential |
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Telephone | 717-705-2774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | HP4170281L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HP4170281L
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License Number State | PA
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