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General NPI Number Information
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NPI Number | 1023064128
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Entity Type | Organization
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Legal Business Name | PILL STAT RX LLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 805 BEACHWAY DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-7788
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Country | US
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Telephone | 317-829-0550
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Fax | 317-829-0540
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Provider Business Mailing Address
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Address Line | 805 BEACHWAY DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-7788
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Country | US
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Telephone | 317-829-0550
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Fax | 317-829-0540
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Authorized Official
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Title or Position | SVP COMPLIANCE
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Name | TODD DONNELLY
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Credential | PHARMACIST
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Telephone | 216-369-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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