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General NPI Number Information
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NPI Number | 1104969872
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Entity Type | Organization
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Legal Business Name | NO FRILLS PHARMACY LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 7646 DODGE ST
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City | OMAHA
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State | NE
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Zip | 68114-3635
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Country | US
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Telephone | 402-392-0371
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Fax | 402-392-0975
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Provider Business Mailing Address
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Address Line | 6232 N 104TH ST ATTN MIKE AKSAMIT
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City | OMAHA
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State | NE
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Zip | 68134-1012
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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 | PRESIDENT
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Name | MIKE AKSAMIT
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Credential | PHARM D RP MBA
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Telephone | 402-657-1793
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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 | 2617
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License Number State | NE
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