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General NPI Number Information
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NPI Number | 1619926144
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Entity Type | Organization
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Legal Business Name | GATEWAY PHARMACY OF PHOENIXVILLE INC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 165 NUTT RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3905
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Country | US
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Telephone | 610-933-2310
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Fax | 610-983-0397
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Provider Business Mailing Address
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Address Line | 165 NUTT RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3905
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Country | US
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Telephone | 610-933-2310
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Fax | 610-983-0397
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK ALAN SZILAGYI
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Credential | PHARMACIST
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Telephone | 610-933-2310
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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 | PP412550L
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License Number State | PA
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