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General NPI Number Information
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NPI Number | 1083708499
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Entity Type | Organization
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Legal Business Name | WHAS RX LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 516 S OAK ST
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City | IOWA FALLS
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State | IA
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Zip | 50126-9544
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Country | US
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Telephone | 641-648-4263
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Fax | 641-648-4264
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Provider Business Mailing Address
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Address Line | 516 S OAK ST
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City | IOWA FALLS
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State | IA
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Zip | 50126-9544
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Country | US
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Telephone | 641-648-4263
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Fax | 641-648-4264
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Authorized Official
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Title or Position | PRESIDENT WHAS RX LLC
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Name | SHERWOOD PETERSON
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Credential | RPH
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Telephone | 507-272-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1172
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License Number State | IA
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