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General NPI Number Information
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NPI Number | 1023626389
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Entity Type | Organization
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Legal Business Name | LEMONAID COMMUNITY PHARMACY, INC
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 7580 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-4409
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Country | US
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Telephone | 888-233-1579
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Fax | 888-233-1579
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Provider Business Mailing Address
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Address Line | 7580 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-4409
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Country | US
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Telephone | 618-407-8446
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Fax | 888-233-1579
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | ELAND SIDDLE
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Credential | PHARM.D.
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Telephone | 888-233-1579
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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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