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General NPI Number Information
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NPI Number | 1083756753
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Entity Type | Organization
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Legal Business Name | CLINICAL PHARMACY CONSULTANTS
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 670 PONAHAWAI ST SUITE 213
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City | HILO
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State | HI
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Zip | 96720-2660
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Country | US
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Telephone | 808-933-8555
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Fax | 808-933-3070
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Provider Business Mailing Address
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Address Line | 670 PONAHAWAI ST SUITE 213
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City | HILO
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State | HI
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Zip | 96720-2660
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Country | US
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Telephone | 808-933-8555
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Fax | 808-933-3070
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. FLOYD W. BARTY
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Credential | D.M.D.
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Telephone | 808-732-8826
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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 | PHY-336
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License Number State | HI
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