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General NPI Number Information
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NPI Number | 1346002631
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Entity Type | Organization
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Legal Business Name | LIFELINE PLUS PHARMACY LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 3860 UNION DEPOSIT RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5919
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Country | US
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Telephone | 717-441-4948
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Fax | 717-441-4948
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Provider Business Mailing Address
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Address Line | 3860 UNION DEPOSIT RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5919
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Country | US
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Telephone | 717-441-4948
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Fax | 717-441-4948
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | DR. ABDURAHMAN N AHMED
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Credential | PHARMD
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Telephone | 614-937-2006
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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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