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General NPI Number Information
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NPI Number | 1083629612
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Entity Type | Organization
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Legal Business Name | CENTER PHARMACY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 4357 NE CHOUTEAU TFWY
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City | KANSAS CITY
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State | MO
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Zip | 64117
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Country | US
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Telephone | 816-453-0200
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Fax | 816-452-6778
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Provider Business Mailing Address
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Address Line | 4357 N CHOUTEAU TRFY
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City | KANSAS CITY
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State | MO
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Zip | 64117-1743
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Country | US
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Telephone | 816-453-0200
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Fax | 816-452-6778
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN PEER
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Credential |
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Telephone | 816-453-0200
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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 | 03570
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License Number State | MO
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