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General NPI Number Information
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NPI Number | 1902765415
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Entity Type | Organization
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Legal Business Name | GANSE APOTHECARY LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1321 CONNELLSVILLE RD STE 200
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City | LEMONT FURNACE
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State | PA
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Zip | 15456-1009
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Country | US
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Telephone | 724-655-6636
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Fax |
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Provider Business Mailing Address
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Address Line | 40 WIGHT AVE STE 100
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2148
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Country | US
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Telephone | 667-408-7767
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DANIEL J MANDOLI
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Credential |
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Telephone | 314-494-7493
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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