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NPI 1437171261

NPI 1437171261 : BURNS DRUG COMPANY : SCOTTDALE, PA

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General NPI Number Information
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    NPI Number           |    1437171261
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    Entity Type          |    Organization 
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    Legal Business Name  |    BURNS DRUG COMPANY 
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Dates
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    Enumeration Date     |    07/24/2006
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    Last Update Date     |    12/19/2007
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Provider Practice Location Address
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    Address Line         |    135 PITTSBURGH ST 
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    City                 |    SCOTTDALE
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    State                |    PA
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    Zip                  |    15683-1732
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    Country              |    US
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    Telephone            |    724-887-6300
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    Fax                  |    724-887-4337
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Provider Business Mailing Address
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    Address Line         |    135 PITTSBURGH ST. 
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    City                 |    SCOTTDALE
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    State                |    PA
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    Zip                  |    15683-1732
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    Country              |    US
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    Telephone            |    724-887-6300
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    Fax                  |    724-887-4337
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAY S STERN 
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    Credential           |    RPH
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    Telephone            |    724-628-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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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       |    PP410308L
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    License Number State |    PA
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