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General NPI Number Information
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NPI Number | 1073589032
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Entity Type | Organization
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Legal Business Name | GUYLL PHARMACY INC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 400 N PENN AVE
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City | INDEPENDENCE
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State | KS
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Zip | 67301-3012
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Country | US
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Telephone | 620-331-0036
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Fax | 620-331-0593
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Provider Business Mailing Address
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Address Line | 400 N PENN AVE
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City | INDEPENDENCE
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State | KS
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Zip | 67301-3012
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Country | US
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Telephone | 620-331-0036
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Fax | 620-331-0593
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARL G GUYLL
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Credential | RPH
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Telephone | 620-331-0036
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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 | 7905
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 7905
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License Number State | KS
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