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General NPI Number Information
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NPI Number | 1215907134
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Entity Type | Organization
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Legal Business Name | WESTER DRUG, INC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 OVESON DR SUITE #102
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City | WILTON
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State | IA
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Zip | 52778-9612
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Country | US
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Telephone | 563-732-5238
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Fax |
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Provider Business Mailing Address
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Address Line | 400 OVESON DR SUITE #102
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City | WILTON
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State | IA
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Zip | 52778-9612
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Country | US
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Telephone | 563-732-5238
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | CORY GARVIN
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Credential | RPH
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Telephone | 563-732-5238
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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 | 162214
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License Number State | IA
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