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General NPI Number Information
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NPI Number | 1023410313
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Entity Type | Organization
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Legal Business Name | ABACUSRX PHARMACY LLC
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 1516 W WARM SPRINGS RD
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City | HENDERSON
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State | NV
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Zip | 89014-4339
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Country | US
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Telephone | 702-475-4297
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Fax | 702-851-1789
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Provider Business Mailing Address
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Address Line | 1516 W WARM SPRINGS RD
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City | HENDERSON
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State | NV
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Zip | 89014-4339
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Country | US
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Telephone | 702-475-4297
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Fax | 702-851-1789
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | KRISTINE CARLTON
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Credential |
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Telephone | 702-475-8609
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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 | PH03284
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License Number State | NV
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