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General NPI Number Information
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NPI Number | 1578663308
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Entity Type | Organization
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Legal Business Name | NELL'S, INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2720 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-9701
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Country | US
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Telephone | 717-741-5973
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Fax | 717-747-5461
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Provider Business Mailing Address
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Address Line | 2720 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-9701
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Country | US
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Telephone | 717-741-5973
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Fax | 717-747-5461
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Authorized Official
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Title or Position | MANAGER
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Name | MISS JEANINE MARIE RUSNAK
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Credential | R.PH.
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Telephone | 717-741-5973
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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 | PP415170L
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License Number State | PA
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