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General NPI Number Information
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NPI Number | 1942208269
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Entity Type | Organization
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Legal Business Name | TERRANOVA RX
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2590 N READING RD
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City | DENVER
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State | PA
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Zip | 17517-9153
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Country | US
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Telephone | 717-484-2649
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Fax | 717-484-6056
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Provider Business Mailing Address
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Address Line | 2590 N READING RD
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City | DENVER
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State | PA
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Zip | 17517-9153
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Country | US
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Telephone | 717-484-2649
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Fax | 717-484-6056
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE ANN WISNIEWSKI
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Credential |
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Telephone | 215-260-4460
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP414568L
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License Number State | PA
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