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General NPI Number Information
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NPI Number | 1104902493
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Entity Type | Organization
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Legal Business Name | SCHEDDELL & WENDT BROS. DRUGS
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 207 S MAIN ST
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City | KOUTS
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State | IN
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Zip | 46347-9412
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Country | US
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Telephone | 219-766-3327
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 269
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City | KOUTS
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State | IN
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Zip | 46347-0269
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Country | US
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Telephone | 219-766-3327
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. THOMAS E STRAIN
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Credential | R.PH.
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Telephone | 219-766-3327
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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 | 26011893A
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License Number State | IN
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