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General NPI Number Information
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NPI Number | 1861962250
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Entity Type | Organization
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Legal Business Name | COATESVILLE COMMUNITY PHARMACY INC
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 260 E LINCOLN HWY
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City | COATESVILLE
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State | PA
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Zip | 19320-3455
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Country | US
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Telephone | 610-383-3800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | MACUNGIE
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State | PA
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Zip | 18062-0088
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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 | MEMBER
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Name | KINJALKUMAR PATEL
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Credential |
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Telephone | 831-318-1614
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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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