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General NPI Number Information
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NPI Number | 1699708768
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Entity Type | Organization
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Legal Business Name | NORLAND AVENUE PHARMACY, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 12 ST. PAUL DRIVE SUITE 105
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4230
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Country | US
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Telephone | 717-217-6790
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Fax |
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Provider Business Mailing Address
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Address Line | 12 ST PAUL DR STE 105
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1035
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Country | US
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Telephone | 717-217-6790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WAYNE MYERS
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Credential | PHARM.D.
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Telephone | 717-217-6790
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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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