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General NPI Number Information
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NPI Number | 1154893071
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Entity Type | Organization
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Legal Business Name | LOCAL HEALTH SPECIALTY
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 522 N NEW BALLAS RD STE 206
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City | ST. LOUIS
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State | MO
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Zip | 63141-6819
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Country | US
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Telephone | 314-499-1227
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Fax | 314-499-1228
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Provider Business Mailing Address
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Address Line | 330 N. FRANKLIN PO BOX 528
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City | CUBA
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State | MO
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Zip | 65453-6819
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Country | US
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Telephone | 573-885-0885
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Fax | 573-677-0567
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN DONNELLY
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Credential |
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Telephone | 210-441-2036
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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 |
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License Number State |
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