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General NPI Number Information
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NPI Number | 1669623476
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Entity Type | Organization
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Legal Business Name | PRICE CHOPPER OPERATING CO OF PA. INC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 245 WILKES BARRE TOWNSHIP BLVD
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City | WILKES BARRE
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State | PA
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Zip | 18702-6705
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Country | US
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Telephone | 570-825-3037
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Fax | 570-825-5365
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Provider Business Mailing Address
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Address Line | 461 NOTT ST MB#202
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City | SCHENECTADY
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State | NY
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Zip | 12308-1812
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Country | US
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Telephone | 518-379-1618
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Fax | 518-356-6978
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Authorized Official
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Title or Position | VP OF PHARMACY
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Name | KATHLEEN BRYANT
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Credential | RPH, MS
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Telephone | 518-379-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | PP481885
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License Number State | PA
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