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General NPI Number Information
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NPI Number | 1407296924
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Entity Type | Organization
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Legal Business Name | LECHS WINOLA PHARMACY INC
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 1088 SR 307 STE 2
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City | FACTORYVILLE
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State | PA
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Zip | 18419-7877
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Country | US
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Telephone | 570-378-1000
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Fax | 570-378-2012
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Provider Business Mailing Address
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Address Line | PO BOX 453
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City | LAKE WINOLA
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State | PA
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Zip | 18625-0453
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Country | US
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Telephone | 570-378-1000
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Fax | 570-378-2012
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JOSEPH LECH
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Credential |
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Telephone | 570-378-1000
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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 | PP482380
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License Number State | PA
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