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General NPI Number Information
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NPI Number | 1174734974
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Entity Type | Organization
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Legal Business Name | ACROPOLIS PHARMACIES, LLC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 519 N CASS AVE 4TH FLOOR #6
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City | WESTMONT
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State | IL
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Zip | 60559-1514
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Country | US
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Telephone | 630-969-4355
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Fax | 800-574-5288
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Provider Business Mailing Address
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Address Line | 519 N CASS AVE 4TH FLOOR #6
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City | WESTMONT
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State | IL
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Zip | 60559-1514
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Country | US
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Telephone | 630-969-4355
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Fax | 800-574-5288
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Authorized Official
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Title or Position | COO
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Name | MS. DIANE F DE RUITER
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Credential | R.N.
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Telephone | 708-308-0553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 54016193
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License Number State | IL
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