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General NPI Number Information
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NPI Number | 1942448592
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Entity Type | Organization
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Legal Business Name | MESSIAH DRUGS PHARMACY
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 2445 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19121-3013
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Country | US
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Telephone | 215-232-1021
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Fax | 215-232-1023
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Provider Business Mailing Address
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Address Line | 2445 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19121-3013
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Country | US
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Telephone | 215-232-1021
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Fax | 215-232-1023
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIANA ONU
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Credential |
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Telephone | 215-232-1021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | PP415350L
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License Number State | PA
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