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General NPI Number Information
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NPI Number | 1235116765
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Entity Type | Organization
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Legal Business Name | VALUE CARE PHARMACY INC
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 122 E KEMP
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City | WATERTOWN
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State | SD
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Zip | 57201-3640
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Country | US
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Telephone | 605-882-4809
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Fax | 605-882-5668
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Provider Business Mailing Address
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Address Line | 122 E KEMP
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City | WATERTOWN
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State | SD
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Zip | 57201-3640
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Country | US
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Telephone | 605-882-4809
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Fax | 605-882-5668
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MRS. GEORGIA ANN HETLAND
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Credential | RPH
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Telephone | 605-882-4809
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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 | 1001832
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License Number State | SD
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