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General NPI Number Information
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NPI Number | 1164904157
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD PHARMACY LLC
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 941 MIDLAND BLVD
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130-3038
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Country | US
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Telephone | 314-390-1616
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Fax | 314-485-2347
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Provider Business Mailing Address
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Address Line | 941 MIDLAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63130-3038
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Country | US
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Telephone | 314-390-1616
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Fax | 314-485-2347
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. ARTHUR KRICHEVSKY
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Credential | PHARM. D.
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Telephone | 314-390-1616
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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 | 201802991
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 201802991
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 201802991
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 201802991
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License Number State | MO
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