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General NPI Number Information
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NPI Number | 1104987312
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Entity Type | Organization
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Legal Business Name | DEPOT DRUG
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 1040 N 2200 W STE 200
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-2929
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Country | US
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Telephone | 800-331-6353
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Fax | 801-595-4440
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Provider Business Mailing Address
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Address Line | 1040 N 2200 W STE 200
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-2929
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Country | US
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Telephone | 800-331-6353
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Fax | 844-267-3587
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | CURTIS HUGHES
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Credential | B.S PHARMACY
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Telephone | 801-595-4319
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 66418181704
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License Number State | UT
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