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General NPI Number Information
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NPI Number | 1902893837
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Entity Type | Organization
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Legal Business Name | ELIZABETH PHARMACY, INC
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 5041 2ND AVE
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City | PITTSBURGH
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State | PA
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Zip | 15207-1679
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Country | US
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Telephone | 412-421-0114
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Fax | 412-421-1216
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Provider Business Mailing Address
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Address Line | 5041 2ND AVE
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City | PITTSBURGH
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State | PA
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Zip | 15207-1679
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Country | US
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Telephone | 412-421-0114
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Fax | 412-421-1216
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. JOSEPH ANTHONY REICH
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Credential |
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Telephone | 412-421-0114
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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 | PP410683L
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License Number State | PA
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