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General NPI Number Information
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NPI Number | 1124301981
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Entity Type | Organization
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Legal Business Name | GRANDVIEW PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 7201 E 147TH ST SUITE 140
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City | GRANDVIEW
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State | MO
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Zip | 64030-4204
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Country | US
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Telephone | 816-318-9999
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Fax | 816-318-9888
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Provider Business Mailing Address
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Address Line | 7201 E 147TH ST SUITE 140
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City | GRANDVIEW
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State | MO
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Zip | 64030-4204
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Country | US
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Telephone | 816-318-9999
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Fax | 816-318-9888
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DOUGLAS CALL
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Credential |
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Telephone | 816-616-7042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2011036672
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License Number State | MO
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