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General NPI Number Information
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NPI Number | 1639698053
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Entity Type | Organization
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Legal Business Name | PHARMACY OF NORRISTOWN, LLC
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 420 W MARSHALL ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-4640
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Country | US
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Telephone | 484-231-1014
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Fax | 484-231-1865
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Provider Business Mailing Address
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Address Line | 420 W MARSHALL ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-4640
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Country | US
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Telephone | 484-231-1014
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Fax | 484-231-1865
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MAHESH PALADUGU
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Credential |
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Telephone | 484-231-1014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP482704
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License Number State | PA
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