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General NPI Number Information
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NPI Number | 1013924786
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER PHARMACY INC.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 W. GORDON
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City | INMAN
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State | KS
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Zip | 67546-0619
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Country | US
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Telephone | 620-585-6833
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Fax | 620-585-6855
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Provider Business Mailing Address
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Address Line | PO BOX 619
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City | INMAN
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State | KS
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Zip | 67546-0619
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Country | US
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Telephone | 620-585-6833
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Fax | 620-585-6855
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. ALAN KEITH SCHOOLER
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Credential | RPH
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Telephone | 620-585-6833
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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 | 209114
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License Number State | KS
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