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NPI 1568424802

NPI 1568424802 : DIAMOND DRUGS, INC. : INDIANA, PA

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General NPI Number Information
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    NPI Number           |    1568424802
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    Entity Type          |    Organization 
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    Legal Business Name  |    DIAMOND DRUGS, INC. 
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Dates
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    Enumeration Date     |    04/03/2006
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    670 PHILADELPHIA ST 
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    City                 |    INDIANA
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    State                |    PA
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    Zip                  |    15701-3930
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    Country              |    US
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    Telephone            |    724-465-4200
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    Fax                  |    724-465-5005
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Provider Business Mailing Address
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    Address Line         |    645 KOLTER DR 
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    City                 |    INDIANA
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    State                |    PA
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    Zip                  |    15701-3570
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    Country              |    US
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    Telephone            |    724-349-1111
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    Fax                  |    724-349-2984
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARK JOSEPH ZILNER 
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    Credential           |    
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    Telephone            |    724-349-1111
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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       |    PP410589L
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    License Number State |    PA
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