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General NPI Number Information
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NPI Number | 1679970354
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Entity Type | Organization
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Legal Business Name | SLW & BCW ENTERPRISES, INC
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 43 WILLIAMSON RD SUITE 1
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City | GREENVILLE
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State | PA
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Zip | 16125-1224
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Country | US
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Telephone | 724-588-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 343 MERCER RD STE 1
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City | GREENVILLE
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State | PA
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Zip | 16125-9773
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Country | US
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Telephone | 724-885-0310
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Fax | 724-373-8460
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Authorized Official
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Title or Position | OWNER
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Name | BRETTON WALBERG
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Credential |
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Telephone | 724-612-2131
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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 |
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License Number State |
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