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General NPI Number Information
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NPI Number | 1871458349
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Entity Type | Organization
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Legal Business Name | BEWARD PHARMACY CLINIC LLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 24082 ROUTE 35 N
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City | MIFFLINTOWN
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State | PA
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Zip | 17059-7926
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Country | US
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Telephone | 717-436-6844
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Fax |
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Provider Business Mailing Address
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Address Line | 24082 ROUTE 35 N
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City | MIFFLINTOWN
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State | PA
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Zip | 17059-7926
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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 | CEO
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Name | MR. GREGORY AGYEMAN-ROCKSON
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Credential |
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Telephone | 929-231-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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