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NPI 1659361871

NPI 1659361871 : BUDGET PHARMACY AND WELLNESS CENTER : FEASTERVILLE, PA

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General NPI Number Information
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    NPI Number           |    1659361871
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUDGET PHARMACY AND WELLNESS CENTER 
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Dates
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    Enumeration Date     |    10/27/2005
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    Last Update Date     |    02/14/2008
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Provider Practice Location Address
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    Address Line         |    1137 BUSTLETON PIKE 
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    City                 |    FEASTERVILLE
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    State                |    PA
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    Zip                  |    19053-7609
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    Country              |    US
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    Telephone            |    215-322-4048
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    Fax                  |    215-322-6160
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Provider Business Mailing Address
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    Address Line         |    1137 BUSTLETON PIKE 
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    City                 |    FEASTERVILLE
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    State                |    PA
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    Zip                  |    19053-7609
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    Country              |    US
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    Telephone            |    215-322-4048
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    Fax                  |    215-322-6160
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. CHARLOTTE J LOPACKI 
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    Credential           |    R.PH
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    Telephone            |    215-322-4048
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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       |    PP410634L
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    License Number State |    PA
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