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General NPI Number Information
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NPI Number | 1013207661
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Entity Type | Organization
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Legal Business Name | FOODS INC
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Dates
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Enumeration Date | 04/17/2011
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 3121 GRAND AVE
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City | AMES
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State | IA
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Zip | 50010-4384
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Country | US
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Telephone | 515-817-2879
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Fax | 515-233-5499
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Provider Business Mailing Address
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Address Line | 3121 GRAND AVE
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City | AMES
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State | IA
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Zip | 50010-4384
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Country | US
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Telephone | 515-817-2879
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Fax | 515-233-5499
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | MRS. MARILYN ALDRICH
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Credential | RPH
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Telephone | 515-276-4845
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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 | 1389
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License Number State | IA
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