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General NPI Number Information
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NPI Number | 1235156944
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Entity Type | Organization
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Legal Business Name | ABERDEEN MEDICAL CENTER PHARMACY, INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 815 1ST AVE SE STE 202
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City | ABERDEEN
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State | SD
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Zip | 57401
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Country | US
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Telephone | 605-725-4001
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Fax | 605-725-2349
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Provider Business Mailing Address
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Address Line | 815 1ST AVE SE STE 202
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City | ABERDEEN
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State | SD
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Zip | 57401-4602
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Country | US
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Telephone | 605-725-4001
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Fax | 605-725-2349
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Authorized Official
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Title or Position | OWNER
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Name | DAVID TAFFE
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Credential | RPH
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Telephone | 605-725-4001
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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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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 1001861
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License Number State | SD
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