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General NPI Number Information
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NPI Number | 1538213988
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Entity Type | Organization
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Legal Business Name | SCITUATE PHARMACY INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 384 GANNETT RD
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City | SCITUATE
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State | MA
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Zip | 02066-1220
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Country | US
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Telephone | 781-545-1020
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Fax | 781-545-8582
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Provider Business Mailing Address
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Address Line | 384 GANNETT RD
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City | SCITUATE
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State | MA
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Zip | 02066-1220
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Country | US
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Telephone | 781-545-1020
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Fax | 781-545-8582
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROCKY TENAGLIA
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Credential | RPH
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Telephone | 781-925-2378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | DS2235
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License Number State | MA
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