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General NPI Number Information
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NPI Number | 1396778627
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Entity Type | Organization
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Legal Business Name | WEIS MARKETS INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 100 WEIS LN
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City | HAZLETON
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State | PA
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Zip | 18201-6108
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Country | US
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Telephone | 570-455-6670
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Fax | 570-455-8866
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Provider Business Mailing Address
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Address Line | PO BOX 471
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City | SUNBURY
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State | PA
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Zip | 17801-3318
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Country | US
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Telephone | 570-286-3623
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Fax | 570-988-3774
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Authorized Official
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Title or Position | VICE PRESIDENT PHARMACY
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Name | JEFFERY MALTESE
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Credential | RPH
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Telephone | 570-863-2809
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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 | PP414121L
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License Number State | PA
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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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