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General NPI Number Information
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NPI Number | 1194070003
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Entity Type | Organization
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Legal Business Name | B E DRUG INC
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 125 S GROVE ST SUITE 2
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City | BLUE EARTH
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State | MN
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Zip | 56013-2521
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Country | US
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Telephone | 507-526-2122
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Fax | 507-526-2298
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Provider Business Mailing Address
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Address Line | 125 S GROVE ST SUITE 2
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City | BLUE EARTH
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State | MN
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Zip | 56013-2521
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Country | US
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Telephone | 507-526-2122
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Fax | 507-526-2298
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Authorized Official
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Title or Position | OWNER
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Name | GINA ZIERKE
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Credential |
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Telephone | 507-526-2121
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 264137
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License Number State | MN
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