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General NPI Number Information
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NPI Number | 1386884567
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Entity Type | Organization
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Legal Business Name | STAUFFER'S DRUG STORE LTD
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 07/05/2010
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Provider Practice Location Address
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Address Line | 433 S KINZER AVE
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City | NEW HOLLAND
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State | PA
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Zip | 17557-8736
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Country | US
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Telephone | 717-355-6155
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Fax | 717-355-6156
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Provider Business Mailing Address
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Address Line | 433 S KINZER AVE
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City | NEW HOLLAND
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State | PA
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Zip | 17557-8736
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Country | US
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Telephone | 717-355-6155
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Fax | 717-355-6156
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Authorized Official
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Title or Position | PHARMACIST
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Name | JOSHUA STAUFFER
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Credential |
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Telephone | 717-355-6155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP481855
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License Number State | PA
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