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General NPI Number Information
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NPI Number | 1265813281
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION MANAGEMENT ASSOCIATES
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 8301 STATE LINE RD SUITE 104
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City | KANSAS CITY
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State | MO
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Zip | 64114-2025
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Country | US
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Telephone | 816-249-2780
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Fax | 816-875-3304
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Provider Business Mailing Address
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Address Line | 4300 BRENNER DR
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City | KANSAS CITY
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State | KS
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Zip | 66104-1163
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Country | US
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Telephone | 816-249-2780
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Fax | 816-875-3304
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Authorized Official
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Title or Position | OWNER
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Name | MANOJ GEORGE
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Credential |
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Telephone | 816-916-6114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2014029123
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License Number State | MO
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