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General NPI Number Information
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NPI Number | 1063987311
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Entity Type | Individual
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Provider Name | ARTHUR KRICHEVSKY PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 941 MIDLAND BLVD
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130-3038
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Country | US
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Telephone | 314-390-1616
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Fax | 314-485-2347
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Provider Business Mailing Address
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Address Line | 2019 ALFRED AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-3536
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Country | US
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Telephone | 314-740-7185
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Fax | 314-485-2347
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2016026639
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License Number State | MO
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