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General NPI Number Information
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NPI Number | 1770834137
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Entity Type | Organization
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Legal Business Name | MARTELLA'S PHARMACY OF WINDBER, LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 901 GRAHAM AVE
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City | WINDBER
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State | PA
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Zip | 15963-1542
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Country | US
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Telephone | 814-467-9700
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Fax | 814-467-9777
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Provider Business Mailing Address
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Address Line | 901 GRAHAM AVE
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City | WINDBER
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State | PA
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Zip | 15963-1542
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Country | US
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Telephone | 814-467-9700
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Fax | 814-467-9777
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Authorized Official
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Title or Position | OWNER
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Name | MR. JACQUELINE MARTELLA
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Credential | R.PH.
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Telephone | 814-629-6624
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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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