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General NPI Number Information
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NPI Number | 1275338378
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Entity Type | Organization
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Legal Business Name | RIVER FALLS PHARMACY PC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 9456 W FAIRVIEW AVE STE 120
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City | BOISE
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State | ID
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Zip | 83704-8180
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Country | US
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Telephone | 208-802-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 9456 W FAIRVIEW AVE STE 120
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City | BOISE
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State | ID
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Zip | 83704-8180
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Country | US
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Telephone | 208-802-0000
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JOHN RICHER
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Credential |
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Telephone | 208-802-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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