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General NPI Number Information
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NPI Number | 1194700203
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Entity Type | Organization
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Legal Business Name | BEST BUY PHARMACY OF PITTSFIELD
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Dates
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Enumeration Date | 12/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1095 W WASHINGTON ST
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City | PITTSFIELD
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State | IL
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Zip | 62363-1654
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Country | US
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Telephone | 217-285-5515
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Fax | 217-285-1326
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Provider Business Mailing Address
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Address Line | PO BOX 463
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City | PITTSFIELD
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State | IL
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Zip | 62363-0463
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Country | US
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Telephone | 217-285-5515
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Fax | 217-285-1326
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | ERICA DAWN THOMAS
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Credential | PHARMACIST
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Telephone | 217-285-5515
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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 | IL
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