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NPI 1124986302

NPI 1124986302 : PHARMCARE USA OF ST. LOUIS, LLC : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1124986302
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHARMCARE USA OF ST. LOUIS, LLC 
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Dates
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    Enumeration Date     |    01/14/2026
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    10810 INDIAN HEAD IND BLVD 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63132-1104
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    Country              |    US
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    Telephone            |    314-887-0145
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    Fax                  |    877-711-0602
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Provider Business Mailing Address
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    Address Line         |    PO BOX 10 
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    City                 |    HYDRO
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    State                |    OK
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    Zip                  |    73048-0010
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    Country              |    US
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    Telephone            |    314-887-0145
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    Fax                  |    877-711-0602
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    MR. KENT  ABBOTT 
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    Credential           |    
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    Telephone            |    866-219-3619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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