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General NPI Number Information
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NPI Number | 1861528523
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Entity Type | Organization
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Legal Business Name | JENDRAL'S PHARMACY, INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 S MOUNT VERNON AVE
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City | UNIONTOWN
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State | PA
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Zip | 15401-3223
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Country | US
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Telephone | 724-437-9888
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Fax | 724-437-4468
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Provider Business Mailing Address
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Address Line | 5 S MOUNT VERNON AVE
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City | UNIONTOWN
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State | PA
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Zip | 15401-3223
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Country | US
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Telephone | 724-437-9888
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Fax | 724-437-4468
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSEMARY ANN JENDRAL
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Credential | RPH
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Telephone | 724-437-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PP411157L
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License Number State | PA
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