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General NPI Number Information
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NPI Number | 1750154837
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Entity Type | Organization
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Legal Business Name | BIACON COMMUNITY PHARMACY LLC
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 4904 PENNELL RD
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City | ASTON
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State | PA
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Zip | 19014-1867
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Country | US
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Telephone | 484-480-3616
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Fax |
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Provider Business Mailing Address
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Address Line | 4904 PENNELL RD
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City | ASTON
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State | PA
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Zip | 19014-1867
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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 | PARTNER
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Name | OSMAN CONTEH
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Credential |
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Telephone | 484-832-6492
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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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