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General NPI Number Information
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NPI Number | 1093952046
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Entity Type | Organization
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Legal Business Name | PHARMACY HEALTHCARE SOLUTIONS, LTD.
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 600 N US HIGHWAY 45 EAST BLDG, RM# 06Z
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1286
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Country | US
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Telephone | 847-523-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N US HIGHWAY 45
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1286
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, PROF SERVICES
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Name | TERRY FORREST
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Credential |
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Telephone | 901-748-0860
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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 | 054-016587
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License Number State | IL
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