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General NPI Number Information
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NPI Number | 1427117308
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Entity Type | Organization
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Legal Business Name | THE MEDICINE SHOPPE
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 510 STATION ST
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-2052
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Country | US
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Telephone | 412-257-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 510 STATION ST
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-2052
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Country | US
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Telephone | 412-257-4466
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY G SMITH
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Credential |
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Telephone | 412-257-4466
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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 | PP414005L
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License Number State | PA
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