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General NPI Number Information
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NPI Number | 1104901495
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Entity Type | Organization
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Legal Business Name | WENATCHEE CLINIC PHARMACY
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 820 N CHELAN AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-2028
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Country | US
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Telephone | 509-662-5801
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Fax | 509-665-0610
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Provider Business Mailing Address
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Address Line | PO BOX 879
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City | WENATCHEE
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State | WA
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Zip | 98807-0879
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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 | PARTNER MANAGER
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Name | DALE MURRAY
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Credential | RPH
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Telephone | 509-662-5801
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHARCF00001156
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License Number State | WA
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