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General NPI Number Information
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NPI Number | 1528121951
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Entity Type | Organization
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Legal Business Name | MGM PHARMACY INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 39 CARLISLE ROAD
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City | NEWVILLE
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State | PA
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Zip | 17241-9703
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Country | US
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Telephone | 717-776-3182
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Fax | 717-776-4399
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Provider Business Mailing Address
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Address Line | 39 CARLISLE ROAD
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City | NEWVILLE
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State | PA
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Zip | 17241-9703
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Country | US
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Telephone | 717-776-3182
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Fax | 717-776-4399
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. DENNIS E YEINGST
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Credential | RPH
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Telephone | 717-776-3182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP029729L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP410948L
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License Number State | PA
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