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General NPI Number Information
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NPI Number | 1508151226
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Entity Type | Organization
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Legal Business Name | SPARTAN PHARMACY INC.
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 3520 CLAIRTON BLVD
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City | BRENTWOOD
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State | PA
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Zip | 15227-2720
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Country | US
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Telephone | 412-440-5888
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Fax | 412-885-3070
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Provider Business Mailing Address
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Address Line | 3526 BROWNSVILLE RD
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City | PITTSBURGH
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State | PA
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Zip | 15227-3116
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Country | US
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Telephone | 412-884-5650
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Fax | 412-884-5651
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ADAM RICE
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Credential | RPH
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Telephone | 412-884-5650
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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 | PP482127
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License Number State | PA
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