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General NPI Number Information
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NPI Number | 1427191584
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Entity Type | Organization
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Legal Business Name | SMITHGALL BROS CO PHARMACY
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 714 COLUMBIA AVE
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City | LANCASTER
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State | PA
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Zip | 17603-3635
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Country | US
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Telephone | 717-397-3688
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Fax | 717-295-2136
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Provider Business Mailing Address
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Address Line | 714 COLUMBIA AVE
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City | LANCASTER
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State | PA
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Zip | 17603-3635
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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 | OWNER
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Name | CHARLES SMITHGALL
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Credential |
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Telephone | 717-397-6218
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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 | PP410655L
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License Number State | PA
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