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General NPI Number Information
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NPI Number | 1720234586
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Entity Type | Organization
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Legal Business Name | HOLLIDAYSBURG PHARMACY LLC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 510 BLAIR ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1808
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Country | US
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Telephone | 814-693-0270
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Fax | 814-693-0271
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Provider Business Mailing Address
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Address Line | 510 BLAIR ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1808
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Country | US
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Telephone | 814-693-0270
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Fax | 814-693-0271
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Authorized Official
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Title or Position | PRES
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Name | WILLIAM THOMPSON
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Credential |
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Telephone | 814-944-6139
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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 | PP481814
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License Number State | PA
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