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General NPI Number Information
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NPI Number | 1053923870
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 3780 E 15TH ST STE 101
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City | LOVELAND
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State | CO
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Zip | 80538-8768
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Country | US
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Telephone | 970-461-9101
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Fax |
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Provider Business Mailing Address
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Address Line | 3780 E 15TH ST STE 102
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City | LOVELAND
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State | CO
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Zip | 80538-8768
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Country | US
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Telephone | 970-461-1975
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | VICKILEE KNIGHT EINHELLIG
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Credential | PHARMACIST
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Telephone | 970-461-1975
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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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