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NPI 1255485603

NPI 1255485603 : A & A DRUG COMPANY : FREMONT, NE

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General NPI Number Information
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    NPI Number           |    1255485603
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    Entity Type          |    Organization 
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    Legal Business Name  |    A & A DRUG COMPANY 
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Dates
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    Enumeration Date     |    01/23/2007
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    Last Update Date     |    11/18/2016
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Provider Practice Location Address
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    Address Line         |    1612 N BELL 
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    City                 |    FREMONT
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    State                |    NE
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    Zip                  |    68025
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    Country              |    US
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    Telephone            |    402-721-7634
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    Fax                  |    402-727-5107
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Provider Business Mailing Address
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    Address Line         |    224 N PARK AVE 
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    City                 |    FREMONT
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    State                |    NE
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    Zip                  |    68025-4964
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    Country              |    US
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    Telephone            |    402-753-2800
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    Fax                  |    888-810-1394
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CHRISTY  PITI 
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    Credential           |    RPH
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    Telephone            |    402-753-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    2996
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    License Number State |    NE
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