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General NPI Number Information
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NPI Number | 1104639988
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Entity Type | Organization
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Legal Business Name | RXLINK EXPRESS
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1540 W MAIN AVE STE B5
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City | DE PERE
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State | WI
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Zip | 54115
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Country | US
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Telephone | 920-234-5997
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Fax | 920-425-3699
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Provider Business Mailing Address
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Address Line | 1540 W MAIN AVE STE B5
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City | DE PERE
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State | WI
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Zip | 54115
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Country | US
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Telephone | 920-234-5997
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Fax | 920-425-3699
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Authorized Official
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Title or Position | CEO
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Name | JUDE P JEAN-PIERRE
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Credential | RPH
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Telephone | 920-205-1003
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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