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General NPI Number Information
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NPI Number | 1174056642
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Entity Type | Organization
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Legal Business Name | TPD PHARMACY
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 5937 W FLORISSANT AVE STE 1
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City | SAINT LOUIS
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State | MO
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Zip | 63136-4952
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Country | US
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Telephone | 314-381-2224
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Fax | 314-381-1771
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Provider Business Mailing Address
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Address Line | 5937 W FLORISSANT AVE STE 1
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City | SAINT LOUIS
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State | MO
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Zip | 63136-4952
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Country | US
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Telephone | 314-381-2224
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Fax | 314-381-1771
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Authorized Official
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Title or Position | OWNER
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Name | TRACY REED
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Credential | PODIATRIST
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Telephone | 314-381-2224
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2017010896
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License Number State | MO
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