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General NPI Number Information
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NPI Number | 1740399856
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Entity Type | Organization
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Legal Business Name | REDNER'S MARKETS INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 22 FOREST DR UNIT #3
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City | HEGINS
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State | PA
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Zip | 17938-9013
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Country | US
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Telephone | 570-680-3855
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Fax | 570-682-3196
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Provider Business Mailing Address
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Address Line | 22 FOREST DR UNIT #3
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City | HEGINS
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State | PA
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Zip | 17938-9018
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Country | US
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Telephone | 570-682-3855
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Fax | 570-682-3196
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Authorized Official
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Title or Position | VP OF HUMAN RESOURCES
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Name | MR. ROBERT MCDONOUGH
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Credential |
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Telephone | 484-248-5718
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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 |
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License Number State |
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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 | PP415076L
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License Number State | PA
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