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General NPI Number Information
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NPI Number | 1851930978
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Entity Type | Organization
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Legal Business Name | ERIE PHARMACY
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 3800 W 12TH ST STE 3
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City | ERIE
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State | PA
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Zip | 16505-3380
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Country | US
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Telephone | 814-402-7123
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Fax | 814-402-7124
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Provider Business Mailing Address
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Address Line | 3800 W 12TH ST STE 3
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City | ERIE
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State | PA
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Zip | 16505-3380
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Country | US
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Telephone | 814-402-7123
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Fax | 814-402-2174
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. JEFFREY PAUL SEDELMYER
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Credential | RPH.
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Telephone | 814-823-2855
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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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