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General NPI Number Information
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NPI Number | 1073494373
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Entity Type | Organization
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Legal Business Name | MILL CITY LTC PHARMACY INCORPORATED
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8025 S WILLOW ST STE 201
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City | MANCHESTER
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State | NH
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Zip | 03103-2311
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Country | US
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Telephone | 603-854-8330
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Fax |
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Provider Business Mailing Address
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Address Line | 8025 S WILLOW ST STE 201
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City | MANCHESTER
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State | NH
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Zip | 03103-2311
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Country | US
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Telephone | 603-854-8330
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY C LINARDOS
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Credential | R.PH
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Telephone | 603-508-9272
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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 |
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License Number State |
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