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General NPI Number Information
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NPI Number | 1629717947
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Entity Type | Organization
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Legal Business Name | EPHRATA PHARMACY LLC
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 4 E MAIN ST
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City | EPHRATA
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State | PA
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Zip | 17522
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Country | US
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Telephone | 267-664-5029
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Fax |
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Provider Business Mailing Address
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Address Line | 103 MILL VIEW LN
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-1428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | NARENDRA CHIGURUPATI
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Credential |
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Telephone | 717-863-9911
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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 |
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License Number State |
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