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General NPI Number Information
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NPI Number | 1013935279
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Entity Type | Organization
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Legal Business Name | CANOTE PHARMACY, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 545 SKAGGS ROAD SUITE 1007
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City | BRANSON
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State | MO
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Zip | 65616
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Country | US
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Telephone | 417-332-0565
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Fax | 417-332-0793
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Provider Business Mailing Address
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Address Line | 545 SKAGGS ROAD SUITE 1007
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City | BRANSON
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State | MO
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Zip | 65616
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Country | US
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Telephone | 417-332-0565
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Fax | 417-332-0793
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE, OWNER
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Name | DR. HEATHER LEE BURNEY
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Credential | PHARM.D.
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Telephone | 417-332-0565
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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 | 2000157696
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License Number State | MO
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