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General NPI Number Information
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NPI Number | 1144334111
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Entity Type | Organization
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Legal Business Name | HESSELBERG DRUG COMPANY
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3660 VISTA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-2540
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Country | US
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Telephone | 314-771-2900
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Fax | 314-773-1202
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Provider Business Mailing Address
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Address Line | PO BOX 15153
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City | SAINT LOUIS
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State | MO
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Zip | 63110-0153
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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 | BEN HESSELBERG
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Credential |
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Telephone | 314-771-2900
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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 | 003411
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License Number State | MO
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