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General NPI Number Information
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NPI Number | 1255416541
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Entity Type | Organization
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Legal Business Name | QUALITY PHARMACEUTICAL SERVICES
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 1130 TEN ROD RD STE F101
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4161
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Country | US
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Telephone | 401-294-1332
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Fax | 401-294-0801
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Provider Business Mailing Address
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Address Line | PO BOX 115
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City | SAUNDERSTOWN
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State | RI
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Zip | 02874-0115
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Country | US
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Telephone | 401-294-1332
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Fax | 401-294-0801
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Authorized Official
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Title or Position | PRES CEO
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Name | MATT UUSTAL
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Credential |
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Telephone | 401-294-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHA00280
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License Number State | RI
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