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General NPI Number Information
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NPI Number | 1194185512
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Entity Type | Organization
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Legal Business Name | QUIER PHARMACY LLC
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 130 E ROSS ST STE 111
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City | CLEARWATER
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State | KS
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Zip | 67026-7833
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Country | US
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Telephone | 620-584-3784
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Fax | 620-886-5517
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Provider Business Mailing Address
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Address Line | PO BOX 349
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City | MEDICINE LODGE
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State | KS
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Zip | 67104-0349
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Country | US
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Telephone | 620-875-1345
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Fax | 620-886-5517
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY PETERSON BRADFIELD
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Credential |
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Telephone | 785-466-6810
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2-13234
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License Number State | KS
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