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General NPI Number Information
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NPI Number | 1760851265
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Entity Type | Organization
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Legal Business Name | BDRX LLC
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 1 N WEST END BLVD
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1133
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Country | US
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Telephone | 215-538-8800
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Fax | 215-538-8802
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Provider Business Mailing Address
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Address Line | 1 N WEST END BLVD
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1133
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Country | US
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Telephone | 215-538-8800
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Fax | 215-538-8802
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Authorized Official
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Title or Position | OWNER/PHARMACY MANAGER/PIC/AO
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Name | BRETT KEENAN
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Credential | RPH
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Telephone | 856-905-7610
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482600
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License Number State | PA
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