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General NPI Number Information
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NPI Number | 1407184807
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE PHARMACY SERVICES INC.
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 27 HECKEL ROAD SUITE 110
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City | MCKEES ROCKS
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State | PA
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Zip | 15136
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Country | US
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Telephone | 412-771-2149
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Fax | 412-771-2169
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Provider Business Mailing Address
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Address Line | 27 HECKEL ROAD SUITE 110
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City | MCKEES ROCKS
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State | PA
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Zip | 15136
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Country | US
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Telephone | 412-771-2149
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Fax | 412-771-2169
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ANTHONY F. BERTOLA
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Credential | RPH
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Telephone | 412-583-6332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PP481981
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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 | PP481981
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License Number State | PA
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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 | PP481981
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License Number State | PA
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