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General NPI Number Information
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NPI Number | 1144512187
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Entity Type | Organization
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Legal Business Name | CARE PHARMACY LLC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 777 CRAIG RD 135A
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City | CREVE COEUR
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State | MO
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Zip | 63141-7138
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Country | US
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Telephone | 314-997-3740
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Fax | 314-997-3742
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Provider Business Mailing Address
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Address Line | 777 CRAIG RD 135A
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City | CREVE COEUR
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State | MO
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Zip | 63141
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Country | US
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Telephone | 314-997-3740
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Fax | 314-997-3742
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NEIL GERSTEIN
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Credential | PHARMACIST
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Telephone | 341-997-3740
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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 | 2011012258
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License Number State | MO
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