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General NPI Number Information
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NPI Number | 1629452974
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Entity Type | Organization
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Legal Business Name | CSP PHARMACY INC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 2224 W 9TH ST
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City | CHESTER
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State | PA
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Zip | 19013-2402
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Country | US
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Telephone | 610-497-1015
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Fax | 610-494-4721
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Provider Business Mailing Address
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Address Line | 2224 W 9TH ST
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City | CHESTER
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State | PA
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Zip | 19013-2402
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Country | US
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Telephone | 610-497-1081
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Fax | 610-494-4721
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Authorized Official
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Title or Position | OWNER
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Name | PROF. CHIRANJIVI BHARATH JANNU
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Credential |
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Telephone | 813-874-2900
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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 | PP482565
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License Number State | PA
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