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General NPI Number Information
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NPI Number | 1063512309
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Entity Type | Organization
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Legal Business Name | CITY EMPLOYEE PHARMACY
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 30 S NEVADA
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903
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Country | US
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Telephone | 719-385-2261
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Fax | 713-985-2264
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Provider Business Mailing Address
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Address Line | 320 S POLK ST STE 100
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City | AMARILLO
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State | TX
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Zip | 79101-1436
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | RHONDA JAQUES
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Credential | AAS
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Telephone | 806-324-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 604
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License Number State | CO
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