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NPI 1013322155

NPI 1013322155 : LEOMINSTER FAMILY PHARMACY, INC. : LEOMINSTER, MA

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General NPI Number Information
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    NPI Number           |    1013322155
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEOMINSTER FAMILY PHARMACY, INC. 
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Dates
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    Enumeration Date     |    06/27/2014
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    Last Update Date     |    01/20/2016
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Provider Practice Location Address
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    Address Line         |    843 CENTRAL ST 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-4813
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    Country              |    US
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    Telephone            |    978-728-4429
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    Fax                  |    978-798-1294
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Provider Business Mailing Address
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    Address Line         |    843 CENTRAL ST 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-4813
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    Country              |    US
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    Telephone            |    978-728-4429
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    Fax                  |    978-798-1294
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     TAU  HSU 
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    Credential           |    RPH
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    Telephone            |    508-755-4173
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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       |    DS89922
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    License Number State |    MA
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