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NPI 1104151893

NPI 1104151893 : ATS PHARMACY SERVICES : MONROE, GA

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General NPI Number Information
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    NPI Number           |    1104151893
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATS PHARMACY SERVICES 
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Dates
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    Enumeration Date     |    10/13/2009
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    Last Update Date     |    10/13/2009
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Provider Practice Location Address
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    Address Line         |    809 STILLBROOK DR 
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    City                 |    MONROE
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    State                |    GA
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    Zip                  |    30655-6179
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    Country              |    US
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    Telephone            |    770-267-8549
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    809 STILLBROOK DR 
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    City                 |    MONROE
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    State                |    GA
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    Zip                  |    30655-6179
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    Country              |    US
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    Telephone            |    770-267-8549
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |    MR. THOMAS E STEED 
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    Credential           |    RPH
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    Telephone            |    770-267-8549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    12424
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    License Number State |    GA
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