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General NPI Number Information
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NPI Number | 1023389434
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Entity Type | Organization
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Legal Business Name | PHARMACY HEALTHCARE SOLUTIONS LTD
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 06/17/2016
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Provider Practice Location Address
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Address Line | 2775 SANDERS RD STE C1
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City | NORTHBROOK
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State | IL
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Zip | 60062-6110
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Country | US
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Telephone | 847-402-9400
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Fax | 847-402-9420
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Provider Business Mailing Address
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Address Line | 2775 SANDERS RD STE C1
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City | NORTHBROOK
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State | IL
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Zip | 60062-6110
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Country | US
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Telephone | 847-402-9400
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Fax | 847-402-9420
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | TERRY FORREST
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Credential | RPH
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Telephone | 901-409-7091
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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 | 054017829
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License Number State | IL
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