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General NPI Number Information
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NPI Number | 1407861032
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Entity Type | Organization
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Legal Business Name | HESS PHARMACY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 745 LINDEN ST
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City | BETHLEHEM
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State | PA
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Zip | 18018-4241
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Country | US
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Telephone | 610-866-5511
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Fax | 610-866-6680
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Provider Business Mailing Address
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Address Line | 745 LINDEN ST
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City | BETHLEHEM
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State | PA
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Zip | 18018-4241
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | MYKOLA SALATA
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Credential | RP
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Telephone | 610-866-5511
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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 | PP411036L
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License Number State | PA
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