MEDICARE: DUKE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2177820	OTHER		PK

General Provider Information

NPI Number	:	1790276145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUKE INC

Provider Business Mailing Address
First Line	:	910 SOUTH DUKE ST
Second Line	:	SUITE 104
City	:	LANCASTER
State	:	PA
Zip	:	17602
Country	:	US
Telephone Number	:	717-299-3300
Fax Number	:	717-299-3301

Provider Business Practice Location Address
First Line	:	910 S DUKE ST STE 104
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-4618
Country	:	US
Telephone Number	:	717-299-3300
Fax Number	:	717-299-3301

Authorized Official
Title or Position	:	PRESIDENT
Name	:	UMAMAHESWARA DONEPUDI
Credential	:
Telephone Number	:	717-299-3300

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	05/25/2018

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Directions to “DUKE INC ” Practice Location

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