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General NPI Number Information
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NPI Number | 1972943157
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Entity Type | Organization
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Legal Business Name | PHILIDOR RX SERVICES LLC
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 330 S WARMINSTER RD SUITE 350
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City | HATBORO
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State | PA
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Zip | 19040-3430
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Country | US
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Telephone | 855-744-5791
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Fax |
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Provider Business Mailing Address
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Address Line | 400 HORSHAM RD SUITE 109
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City | HORSHAM
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State | PA
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Zip | 19044-2140
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Country | US
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Telephone | 302-588-4484
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Fax | 267-965-2010
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Authorized Official
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Title or Position | CEO
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Name | MR. ANDREW DAVENPORT
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Credential |
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Telephone | 302-588-4484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482370
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License Number State | PA
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