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General NPI Number Information
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NPI Number | 1932103587
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Entity Type | Organization
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Legal Business Name | GUTHRIESVILLE PHARMACY INC
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1169 HORSESHOE PIKE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-1367
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Country | US
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Telephone | 610-269-7368
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Fax | 610-269-2198
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Provider Business Mailing Address
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Address Line | 1169 HORSESHOE PIKE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-1367
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Country | US
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Telephone | 610-269-7368
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Fax | 610-269-2198
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. DAVID MICHAEL SIRHAL
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Credential | RPH
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Telephone | 610-269-7368
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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 | PP412413L
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License Number State | PA
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