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General NPI Number Information
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NPI Number | 1063266153
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Entity Type | Organization
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Legal Business Name | CENCORA PATIENT SERVICES, LLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 345 INTERNATIONAL BLVD STE 200
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City | BROOKS
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State | KY
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Zip | 40109
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Country | US
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Telephone | 855-437-2370
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Fax | 877-398-4165
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Provider Business Mailing Address
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Address Line | 5025 PLANO PARKWAY
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City | CARROLLTON
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State | TX
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Zip | 75010
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Country | US
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Telephone | 469-365-8245
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Fax | 469-365-8274
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Authorized Official
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Title or Position | SR. DIRECTOR OF PHARMACY SERVICES
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Name | JOSEPH MAX EILER
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Credential | RPH
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Telephone | 469-365-8338
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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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