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General NPI Number Information
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NPI Number | 1609324086
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Entity Type | Organization
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Legal Business Name | PRAMUKH PHARMACY LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 810 OLEY ST STE G2
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City | READING
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State | PA
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Zip | 19604-2546
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Country | US
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Telephone | 484-577-4408
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Fax | 484-509-2919
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Provider Business Mailing Address
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Address Line | 1220 CENTRE AVE
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City | READING
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State | PA
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Zip | 19601-1458
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Country | US
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Telephone | 610-236-0911
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Fax | 610-236-0993
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRAGNESH PATEL
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Credential |
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Telephone | 904-673-0588
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482677
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License Number State | PA
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