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General NPI Number Information
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NPI Number | 1578361895
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Entity Type | Organization
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Legal Business Name | WEIS MARKETS INC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 10122 OLD NATIONAL PIKE
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City | IJAMSVILLE
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State | MD
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Zip | 21754-9722
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Country | US
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Telephone | 240-915-6253
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Fax | 223-204-5245
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Provider Business Mailing Address
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Address Line | PO BOX 471
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City | SUNBURY
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State | PA
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Zip | 17801-0471
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Country | US
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Telephone | 570-286-3623
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Fax | 570-988-3774
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Authorized Official
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Title or Position | VICE PRESIDENT, PHARMACY
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Name | MR. NICHOLAS J. CICCO
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Credential | PHARM D
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Telephone | 570-286-3201
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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 |
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License Number State |
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