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General NPI Number Information
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NPI Number | 1255614038
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Entity Type | Organization
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Legal Business Name | BRISMA PHARMACY PLLC
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 590 N ALMA SCHOOL RD STE 3
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City | CHANDLER
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State | AZ
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Zip | 85224-4361
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Country | US
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Telephone | 480-719-8798
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Fax | 480-719-8795
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Provider Business Mailing Address
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Address Line | 590 N ALMA SCHOOL RD STE 3
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City | CHANDLER
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State | AZ
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Zip | 85224-4361
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Country | US
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Telephone | 480-719-8798
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Fax | 480-719-8795
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Authorized Official
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Title or Position | PIC/OWNER
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Name | IBORO AKPAN
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Credential | PHARMD
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Telephone | 480-577-8726
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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 | Y005421
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License Number State | AZ
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