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General NPI Number Information
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NPI Number | 1184798605
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Entity Type | Organization
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Legal Business Name | REDPHARM DRUG, INC.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 6501 CITY WEST PKWY
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3248
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Country | US
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Telephone | 952-653-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 CITY WEST PKWY
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3248
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Country | US
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Telephone | 952-653-2525
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Fax |
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Authorized Official
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Title or Position | VP OF PHCY SERVICES
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Name | JULIE GEASON
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Credential |
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Telephone | 952-653-2525
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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 | 2621267
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License Number State | MN
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