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General NPI Number Information
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NPI Number | 1033133681
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Entity Type | Organization
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Legal Business Name | CROWDERS INSTITUTIONAL PHARMACY
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 629 EAST 16TH ST
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City | BEDFORD
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State | IN
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Zip | 47421-3818
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Country | US
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Telephone | 812-275-5949
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Fax | 812-275-4963
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Provider Business Mailing Address
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Address Line | 629 16TH ST PO BOX 966
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City | BEDFORD
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State | IN
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Zip | 47421-3818
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Country | US
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Telephone | 812-275-5949
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Fax | 812-275-4963
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. STEVE M ANDERSON
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Credential | RPH
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Telephone | 812-329-6466
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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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