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General NPI Number Information
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NPI Number | 1629295803
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Entity Type | Organization
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Legal Business Name | RXD BANKS PHARMACY
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1335 W TABOR RD
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3038
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Country | US
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Telephone | 215-927-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 5347 WINGOHOCKING TER
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City | PHILADELPHIA
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State | PA
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Zip | 19144-5831
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Country | US
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Telephone | 215-857-2824
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. KEISHIA COLLETTE WHITMAN
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Credential | RPH
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Telephone | 215-927-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP-043372L
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License Number State | PA
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