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General NPI Number Information
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NPI Number | 1477414944
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Entity Type | Organization
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Legal Business Name | TAMAQAA DRUG STORE INC
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Dates
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Enumeration Date | 11/22/2025
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 46 W BROAD ST
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City | TAMAQUA
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State | PA
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Zip | 18252-1966
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Country | US
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Telephone | 484-229-9748
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Fax | 484-229-9557
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Provider Business Mailing Address
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Address Line | 46 W BROAD ST
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City | TAMAQUA
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State | PA
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Zip | 18252-1966
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Country | US
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Telephone | 484-229-9748
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Fax | 484-229-9557
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Authorized Official
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Title or Position | OWNER
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Name | VAIBHAV PATEL
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Credential |
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Telephone | 570-507-8792
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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 |
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License Number State |
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