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General NPI Number Information
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NPI Number | 1801493606
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Entity Type | Organization
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Legal Business Name | SOMERSET PHARMACY LLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 11/25/2021
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Provider Practice Location Address
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Address Line | 216 W SOMERSET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19133-3534
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Country | US
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Telephone | 267-534-4030
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Fax | 267-687-7275
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Provider Business Mailing Address
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Address Line | 216 W SOMERSET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19133-3534
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Country | US
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Telephone | 267-534-4030
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD OST
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Credential | RPH
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Telephone | 267-534-4030
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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 | 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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