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General NPI Number Information
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NPI Number | 1033155940
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Entity Type | Organization
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Legal Business Name | DUNDEE PHARMACY INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 06/23/2013
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Provider Practice Location Address
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Address Line | 2750 DUNDEE RD #9
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City | NORTHBROOK
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State | IL
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Zip | 60062-2600
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Country | US
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Telephone | 847-480-1000
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Fax | 847-480-1988
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Provider Business Mailing Address
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Address Line | 2750 DUNDEE RD SUITE 9
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City | NORTHBROOK
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State | IL
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Zip | 60062-2600
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Country | US
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Telephone | 847-480-1000
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Fax | 847-480-1988
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEIL A MACKLIN
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Credential | R.PH.
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Telephone | 847-480-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203.001561
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054015135
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License Number State | IL
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