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General NPI Number Information
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NPI Number | 1720021082
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Entity Type | Organization
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Legal Business Name | CAMILLA HALL PHARMACY
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | CAMILLA HALL NURSING HOME 1145 KING RD
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City | IMMACULATA
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State | PA
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Zip | 19345-0100
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Country | US
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Telephone | 610-644-1152
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Fax | 610-695-0691
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | IMMACULATA
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State | PA
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Zip | 19345-0100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | SISTER JEANNE CROWE
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Credential | RPH
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Telephone | 610-695-8125
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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 | PP414299L
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License Number State | PA
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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