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General NPI Number Information
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NPI Number | 1093941494
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Entity Type | Organization
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Legal Business Name | ABTS PHARMACY LLC
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Dates
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Enumeration Date | 05/31/2009
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 121 CEDAR STREET
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City | JULESBURG
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State | CO
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Zip | 80737
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Country | US
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Telephone | 970-474-3672
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Fax | 970-474-3727
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Provider Business Mailing Address
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Address Line | 3780 E 15TH STREET SUITE 102
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-461-1975
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Fax | 970-461-4042
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | VICKILEE KNIGHT EINHELLIG
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Credential |
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Telephone | 970-461-1975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 670000002
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License Number State | CO
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