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General NPI Number Information
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NPI Number | 1285032771
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Entity Type | Organization
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Legal Business Name | PHARMACY AND COMPOUNDING SOLUTIONS
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 595 CHAPEL HILLS DR SUITE 104
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1022
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Country | US
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Telephone | 719-358-8720
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Fax | 719-424-7123
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Provider Business Mailing Address
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Address Line | 595 CHAPEL HILLS DR SUITE 104
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1022
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Country | US
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Telephone | 719-358-8720
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Fax | 719-424-7123
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Authorized Official
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Title or Position | PRESIDENT OF PHARMACY OPERATIONS
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Name | KRISTIN MALEK
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Credential |
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Telephone | 719-375-5990
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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 | 1680000077
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License Number State | CO
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