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General NPI Number Information
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NPI Number | 1770250029
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Entity Type | Organization
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Legal Business Name | SR PHARMACY
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 3831 WALNUT ST UNIT C
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City | HARRISBURG
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State | PA
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Zip | 17109-2533
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Country | US
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Telephone | 717-220-8874
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Fax |
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Provider Business Mailing Address
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Address Line | 146 ROBIN LN APT T6
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-8249
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Country | US
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Telephone | 717-982-2683
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | SUNITABEN ALPESH PATEL
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Credential | PHARM D.
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Telephone | 717-982-2683
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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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