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General NPI Number Information
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NPI Number | 1366542029
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Entity Type | Organization
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Legal Business Name | DARRENKAMPS MT JOY MARKET INC
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 945 EAST MAIN STREET
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City | MOUNT JOY
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State | PA
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Zip | 17552
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Country | US
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Telephone | 717-653-6333
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Fax | 717-653-6168
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Provider Business Mailing Address
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Address Line | 945 EAST MAIN STREET
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City | MOUNT JOY
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State | PA
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Zip | 17552
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Country | US
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Telephone | 717-653-6333
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Fax | 717-653-6168
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Authorized Official
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Title or Position | PHARMACIST MANAGER
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Name | MR. THOMAS MICHAEL REED
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Credential | RPH
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Telephone | 717-653-6333
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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 | PP481329
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License Number State | PA
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