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NPI 1457362022

NPI 1457362022 : SHIPMANS PHARMACY INC : PALMERTON, PA

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General NPI Number Information
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    NPI Number           |    1457362022
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHIPMANS PHARMACY INC 
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Dates
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    Enumeration Date     |    08/10/2006
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    Last Update Date     |    04/12/2017
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Provider Practice Location Address
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    Address Line         |    326 DELAWARE AVE 
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    City                 |    PALMERTON
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    State                |    PA
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    Zip                  |    18071-1814
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    Country              |    US
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    Telephone            |    610-826-5555
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    Fax                  |    610-826-5556
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Provider Business Mailing Address
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    Address Line         |    326 DELAWARE AVE 
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    City                 |    PALMERTON
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    State                |    PA
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    Zip                  |    18071-1814
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    Country              |    US
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    Telephone            |    610-826-5555
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    Fax                  |    610-826-5556
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DAVID  SHIPMAN 
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    Credential           |    RPH
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    Telephone            |    610-826-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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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       |    PP412541L
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    License Number State |    PA
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