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General NPI Number Information
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NPI Number | 1033179668
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Entity Type | Organization
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Legal Business Name | PHARMACY PLUS, INC.
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 502 CHESTNUT ST
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City | GREENFIELD
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State | IL
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Zip | 62044-1305
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Country | US
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Telephone | 217-368-2667
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Fax | 217-368-3140
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Provider Business Mailing Address
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Address Line | 502 CHESTNUT ST
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City | GREENFIELD
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State | IL
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Zip | 62044-1305
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Country | US
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Telephone | 217-368-2667
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Fax | 217-368-3140
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BYRON A BERRY JR.
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Credential | R.PH.
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Telephone | 217-248-6868
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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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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