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General NPI Number Information
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NPI Number | 1548371602
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Entity Type | Organization
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Legal Business Name | HYDE DRUG, L.L.C.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 2412 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1939
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Country | US
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Telephone | 724-652-1451
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Fax | 724-657-0159
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Provider Business Mailing Address
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Address Line | 2412 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1939
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Country | US
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Telephone | 724-652-1451
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Fax | 724-657-0159
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Authorized Official
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Title or Position | PRESIDENT/CHIEF PHARMACIST
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Name | GEORGE STEFANIS
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Credential |
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Telephone | 724-652-1451
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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 | PP411112L
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License Number State | PA
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