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General NPI Number Information
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NPI Number | 1013922657
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Entity Type | Organization
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Legal Business Name | SKIDMORE PHARMACY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 1213 24TH ST STE 400
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City | ANACORTES
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State | WA
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Zip | 98221-2592
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Country | US
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Telephone | 360-293-2124
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Fax | 360-293-0419
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Provider Business Mailing Address
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Address Line | 1213 24TH ST STE 400
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City | ANACORTES
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State | WA
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Zip | 98221-2595
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Country | US
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Telephone | 360-293-2124
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Fax | 360-293-0419
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | STEVE SKIDMORE
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Credential | R.PH.
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Telephone | 360-293-2124
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 00056465
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License Number State | WA
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