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General NPI Number Information
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NPI Number | 1770896714
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Entity Type | Organization
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Legal Business Name | STAUFFERS DRUG STORE LTD
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 147 E MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1227
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Country | US
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Telephone | 717-355-9304
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Fax | 717-355-9302
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Provider Business Mailing Address
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Address Line | 149 E MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1282
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Country | US
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Telephone | 717-355-9300
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Fax | 717-355-9302
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA STAUFFER
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Credential | PHARM D
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Telephone | 717-355-9304
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PP481985
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License Number State | PA
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