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General NPI Number Information
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NPI Number | 1184731879
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Entity Type | Organization
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Legal Business Name | CHEPACHET PHARMACY, INC.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 MONEY HILL RD
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City | CHEPACHET
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State | RI
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Zip | 02814-0901
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Country | US
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Telephone | 401-568-2536
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Fax | 401-568-2563
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Provider Business Mailing Address
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Address Line | PO BOX 702 15 MONEY HILL RD
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City | CHEPACHET
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State | RI
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Zip | 02814-0901
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Country | US
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Telephone | 401-568-2536
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Fax | 401-568-2563
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. CRAIG A BOWEN
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Credential | RPH, PHARM.D.
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Telephone | 401-568-2536
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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 | PHA00115
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License Number State | RI
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