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General NPI Number Information
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NPI Number | 1194893537
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Entity Type | Organization
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Legal Business Name | RICHARDS PHARMACY INC
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Dates
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Enumeration Date | 12/02/2006
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 5625 HICKMAN RD
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City | DES MOINES
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State | IA
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Zip | 50310-1119
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Country | US
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Telephone | 515-274-4001
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Fax | 515-274-5471
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Provider Business Mailing Address
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Address Line | 5625 HICKMAN RD
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City | DES MOINES
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State | IA
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Zip | 50310-1119
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Country | US
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Telephone | 515-274-4001
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Fax | 515-274-5471
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK J RICHARDS
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Credential | RPH
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Telephone | 515-274-4001
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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 | 89
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License Number State | IA
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