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General NPI Number Information
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NPI Number | 1699145946
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Entity Type | Organization
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Legal Business Name | RITE AID PHARMACY
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 100 W HARFORD ST
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City | MILFORD
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State | PA
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Zip | 18337-1119
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Country | US
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Telephone | 570-296-6014
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W HARFORD ST
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City | MILFORD
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State | PA
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Zip | 18337-1119
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Country | US
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Telephone | 570-296-6014
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Fax |
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Authorized Official
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Title or Position | STAFF PHARMACIST
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Name | GIANG TUNG DUONG
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Credential |
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Telephone | 408-472-6629
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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 | RP449646
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License Number State | PA
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