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General NPI Number Information
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NPI Number | 1144222969
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Entity Type | Organization
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Legal Business Name | DS PHARMACY, INC.
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 407A HERON DR
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1737
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Country | US
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Telephone | 856-241-5213
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Fax |
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Provider Business Mailing Address
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Address Line | 411 108TH AVE NE SUITE 1400
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City | BELLEVUE
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State | WA
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Zip | 98004-8404
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Country | US
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Telephone | 425-372-3200
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Fax | 425-372-3817
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. DAVE KRISHNA
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Credential | RPH
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Telephone | 800-378-4786
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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 | 28RS00587100
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License Number State | NJ
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