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General NPI Number Information
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NPI Number | 1205256088
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Entity Type | Organization
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Legal Business Name | CVS CAREMARK CORPORATION
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 15100 N 90TH ST STE 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2901
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Country | US
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Telephone | 480-444-3140
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Fax |
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Provider Business Mailing Address
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Address Line | 8326 E SAN RAFAEL DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1823
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Country | US
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Telephone | 480-747-7393
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Fax |
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Authorized Official
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Title or Position | PHARMACY SUPERVISOR
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Name | MRS. EMILY ZIEGLER
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Credential | RPH
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Telephone | 401-216-0139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S011823
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License Number State | AZ
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