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General NPI Number Information
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NPI Number | 1093020356
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Entity Type | Organization
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Legal Business Name | PHARMACY SERVICES INC
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 212 MILLWELL DR STE A
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-2512
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Country | US
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Telephone | 314-739-4270
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Fax | 877-480-4986
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Provider Business Mailing Address
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Address Line | 212 MILLWELL DR SUITE A
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-2512
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Country | US
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Telephone | 877-480-4987
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Fax | 877-480-4986
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MARLENE WILSON
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Credential |
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Telephone | 314-941-0480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 01055932
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License Number State | MO
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