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General NPI Number Information
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NPI Number | 1558395533
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Entity Type | Organization
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Legal Business Name | GANSE APOTHECARY LLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 21 N CHARLOTTE ST
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City | LANCASTER
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State | PA
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Zip | 17603-3702
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Country | US
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Telephone | 717-394-5671
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Fax | 717-394-4566
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Provider Business Mailing Address
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Address Line | 355 W KING ST
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City | LANCASTER
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State | PA
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Zip | 17603-3751
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Country | US
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Telephone | 717-394-5671
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Fax | 717-394-4566
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | GREG GANSE
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Credential |
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Telephone | 717-394-5671
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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 | PP410289L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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