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General NPI Number Information
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NPI Number | 1588682587
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Entity Type | Organization
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Legal Business Name | TOWNVILLE INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 2195 ROUTE 442 HWY
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City | MUNCY
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State | PA
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Zip | 17756-7600
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Country | US
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Telephone | 570-546-8272
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Fax | 570-546-6364
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Provider Business Mailing Address
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Address Line | 2195 ROUTE 442 HWY
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City | MUNCY
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State | PA
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Zip | 17756-7600
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Country | US
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Telephone | 570-546-8272
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Fax | 570-546-6364
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Authorized Official
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Title or Position | PRES
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Name | GARY PECK
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Credential | BS PHARMACY
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Telephone | 570-546-8272
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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 |
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License Number State |
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP412339L
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License Number State | PA
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