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General NPI Number Information
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NPI Number | 1477687903
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Entity Type | Organization
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Legal Business Name | WESTMORELAND HOSPITAL PHARMACY
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 532 W PITTSBURGH ST
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City | GREENSBURG
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State | PA
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Zip | 15601-2239
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Country | US
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Telephone | 724-832-4255
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Fax | 724-832-4853
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Provider Business Mailing Address
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Address Line | 532 W PITTSBURGH ST
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City | GREENSBURG
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State | PA
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Zip | 15601-2239
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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 | DIRECTOR OF PHARMACY
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Name | DEAN MATANIN
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Credential | PHARMD
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Telephone | 724-832-4660
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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 | PP481759
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License Number State | PA
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