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General NPI Number Information
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NPI Number | 1679546360
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Entity Type | Organization
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Legal Business Name | WASHINGTON SQUARE PHARMACY INC
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Dates
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Enumeration Date | 02/11/2006
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 241 S 6TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3727
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Country | US
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Telephone | 215-925-1466
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Fax | 215-829-0820
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Provider Business Mailing Address
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Address Line | 241 S 6TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3727
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Country | US
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Telephone | 215-925-1466
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Fax | 215-829-0820
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARD VOLGRAF
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Credential | RPH
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Telephone | 215-925-1466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | PP411092L
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License Number State | PA
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