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General NPI Number Information
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NPI Number | 1205290483
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Entity Type | Organization
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Legal Business Name | ARROWHEAD PHARMACY SERVICES, LTD
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 21 W HIGHWAY 61
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City | GRAND MARAIS
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State | MN
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Zip | 55604-4401
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Country | US
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Telephone | 218-387-1133
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Fax | 218-387-2169
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Provider Business Mailing Address
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Address Line | 14091 BAXTER DR
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City | BAXTER
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State | MN
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Zip | 56425-8699
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Country | US
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Telephone | 218-829-3473
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Fax | 218-454-0353
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL SCHWARTZWALD
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Credential | RPH
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Telephone | 218-829-3476
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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 | 264139
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License Number State | MN
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