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General NPI Number Information
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NPI Number | 1679541916
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Entity Type | Organization
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Legal Business Name | DONOUGH PHARMACY, INC.
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Dates
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Enumeration Date | 03/11/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 545 CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-5320
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Country | US
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Telephone | 717-272-2261
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Fax | 717-272-2275
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Provider Business Mailing Address
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Address Line | 545 CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-5320
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Country | US
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Telephone | 717-272-2261
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Fax | 717-272-2275
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANK LEVI HEILMAN SR.
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Credential | RPH
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Telephone | 717-272-2261
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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 | PP410612-L
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License Number State | PA
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