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General NPI Number Information
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NPI Number | 1215361399
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Entity Type | Organization
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Legal Business Name | STAPLEY PHARMACY INC
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 446 S MALL DR STE B8
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City | ST GEORGE
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State | UT
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Zip | 84790-4947
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Country | US
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Telephone | 435-627-2910
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Fax | 435-627-2785
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Provider Business Mailing Address
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Address Line | 446 S MALL DR STE B8
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City | ST GEORGE
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State | UT
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Zip | 84790-4947
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Country | US
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Telephone | 435-627-2910
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Fax | 435-627-2785
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. CHRISTOPHER CHRISTENSEN
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Credential | PHARMD
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Telephone | 435-627-2910
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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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