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General NPI Number Information
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NPI Number | 1457446460
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Entity Type | Organization
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Legal Business Name | J B MERRICK APOTHECARY INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 31 CRICKET AVE
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City | ARDMORE
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State | PA
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Zip | 19003-0007
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Country | US
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Telephone | 610-642-8900
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Fax | 610-642-8903
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Provider Business Mailing Address
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Address Line | 31 CRICKET AVE P O BOX # 7
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City | ARDMORE
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State | PA
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Zip | 19003-2230
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Country | US
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Telephone | 610-642-8900
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Fax | 610-642-8903
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Authorized Official
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Title or Position | REG PHARMACIST OWNER
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Name | MR. JOSEPH NICHOLAS ANNARELLI
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Credential | RPH
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Telephone | 610-642-8900
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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 | PP411471L
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License Number State | PA
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