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General NPI Number Information
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NPI Number | 1144402686
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Entity Type | Organization
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Legal Business Name | PHARMORE DRUGS LLC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 3531 HOWARD ST
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City | SKOKIE
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State | IL
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Zip | 60076-4012
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Country | US
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Telephone | 847-679-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 3531 HOWARD ST
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City | SKOKIE
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State | IL
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Zip | 60076-4012
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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 | CFO
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Name | AVROM GOLDFEDER
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Credential |
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Telephone | 847-679-7455
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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 | 09313477
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License Number State | IL
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