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General NPI Number Information
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NPI Number | 1194236307
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Entity Type | Organization
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Legal Business Name | EMPLOYEES PHARMACY LLC
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Dates
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Enumeration Date | 10/14/2017
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 4881 COUGAR TRAIL RD
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City | DUBLIN
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State | VA
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Zip | 24084-3918
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Country | US
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Telephone | 540-674-4181
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Fax | 540-674-7391
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Provider Business Mailing Address
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Address Line | 224 N PARK AVE
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City | FREMONT
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State | NE
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Zip | 68025-4964
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Country | US
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Telephone | 402-753-2800
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Fax | 866-441-1680
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Authorized Official
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Title or Position | LICENSING COORDINATOR
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Name | RONDA THIESSEN
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Credential |
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Telephone | 402-753-2800
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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 | 0201004820
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License Number State | VA
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