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General NPI Number Information
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NPI Number | 1003298910
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Entity Type | Organization
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Legal Business Name | OUR PHARMACY
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Dates
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Enumeration Date | 06/27/2015
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 2080 N DOBSON RD #3
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City | CHANDLER
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State | AZ
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Zip | 85224
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Country | US
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Telephone | 480-812-3725
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Fax | 480-726-7340
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Provider Business Mailing Address
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Address Line | 2080 N DOBSON RD #3
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City | CHANDLER
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State | AZ
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Zip | 85224
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Country | US
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Telephone | 480-812-3725
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Fax | 480-726-7340
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. ASHWIN WAGHRAY
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Credential | RPH.
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Telephone | 480-812-3725
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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 | Y006811
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | Y006811
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y006811
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License Number State | AZ
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