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General NPI Number Information
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NPI Number | 1174565014
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Entity Type | Organization
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Legal Business Name | MEDIRX INC PA
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 321 S BROADWAY BLVD
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City | SALINA
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State | KS
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Zip | 67401-3803
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Country | US
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Telephone | 782-825-0524
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Fax | 785-825-6540
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Provider Business Mailing Address
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Address Line | 321 S BROADWAY BLVD
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City | SALINA
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State | KS
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Zip | 67401-3803
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Country | US
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Telephone | 782-825-0524
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Fax | 785-825-6540
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNY H DALEY
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Credential | R.PH.
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Telephone | 785-825-0524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 2-08757
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License Number State | KS
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