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General NPI Number Information
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NPI Number | 1255631966
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Entity Type | Organization
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Legal Business Name | DOMINICK'S PHARMACY
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 615 E DUNDEE RD
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City | PALATINE
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State | IL
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Zip | 60074-2817
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Country | US
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Telephone | 847-776-1386
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Fax |
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Provider Business Mailing Address
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Address Line | 615 E DUNDEE RD
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City | PALATINE
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State | IL
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Zip | 60074-2817
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Country | US
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Telephone | 847-776-1386
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. MING NG
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Credential | PHARM D
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Telephone | 847-776-1386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | IL
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