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General NPI Number Information
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NPI Number | 1083158547
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION SHOPPE, INC.
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 807 S HIGHWAY 52
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City | GUTTENBERG
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State | IA
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Zip | 52052-9018
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Country | US
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Telephone | 563-252-1172
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Fax | 563-252-3724
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Provider Business Mailing Address
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Address Line | 807 S HIGHWAY 52
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City | GUTTENBERG
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State | IA
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Zip | 52052-9018
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Country | US
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Telephone | 563-252-1172
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Fax | 563-252-3724
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Authorized Official
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Title or Position | OWNER
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Name | ERIC NIGHTINGALE
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Credential |
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Telephone | 702-780-9548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1597
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License Number State | IA
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