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General NPI Number Information
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NPI Number | 1619217684
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Entity Type | Organization
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Legal Business Name | SMITHS PHARMACY III INC
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 133 W HUNTING PARK AVE STE 200
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2717
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Country | US
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Telephone | 215-324-5100
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Fax | 215-324-5600
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Provider Business Mailing Address
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Address Line | 133 W HUNTING PARK AVE SUITE 200
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2717
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Country | US
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Telephone | 215-324-5100
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Fax | 215-324-5600
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | PAUL DELGADO
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Credential |
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Telephone | 215-324-5100
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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 | PP482342
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License Number State | PA
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