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General NPI Number Information
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NPI Number | 1760525422
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Entity Type | Organization
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Legal Business Name | RXD PHARMACY OF PA INC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 245 SUNBURY ST
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City | MINERSVILLE
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State | PA
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Zip | 17954
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Country | US
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Telephone | 570-544-4758
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Fax | 570-544-3308
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | COLLINGSWOOD
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State | NJ
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Zip | 08108
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Country | US
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Telephone | 856-858-9292
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Fax | 856-858-7286
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MR. ROBERT S MILNER
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Credential |
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Telephone | 856-577-4577
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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 | PP412391L
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License Number State | PA
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