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General NPI Number Information
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NPI Number | 1053284372
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Entity Type | Organization
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Legal Business Name | PHARMACY1ST LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 808 2ND AVE
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City | GOLD HILL
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State | OR
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Zip | 97525-5502
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Country | US
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Telephone | 541-855-1544
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 UNION ST NE FL 7
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City | WASHINGTON
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State | DC
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Zip | 20002-7042
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Country | US
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Telephone | 929-231-0673
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Fax |
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Authorized Official
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Title or Position | HEAD OF PHARMACY SERVICES
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Name | DR. SETH KOSSI ANATO
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Credential | PHARM.D.
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Telephone | 314-517-9035
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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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