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General NPI Number Information
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NPI Number | 1780783944
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Entity Type | Organization
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Legal Business Name | THRIFT DRUG INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 109 RAILROAD ST
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City | BEDFORD
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State | PA
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Zip | 15522-1014
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Country | US
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Telephone | 814-623-6266
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Fax | 814-623-0664
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Provider Business Mailing Address
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Address Line | 200 NEWBERRY COMMONS
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City | ETTERS
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State | PA
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Zip | 17319-9363
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER ONLINE ADJUDICATION
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Name | JENNIFER ZOREK
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Credential |
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Telephone | 717-975-5937
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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 | PP414503L
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License Number State | PA
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