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General NPI Number Information
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NPI Number | 1285033969
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Entity Type | Organization
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Legal Business Name | AR-EX DRUG INC
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 801 BROADWAY
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City | MARYSVILLE
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State | KS
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Zip | 66508-1802
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Country | US
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Telephone | 785-562-3196
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Fax | 785-562-2340
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Provider Business Mailing Address
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Address Line | 801 BROADWAY
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City | MARYSVILLE
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State | KS
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Zip | 66508-1802
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Country | US
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Telephone | 785-562-3196
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Fax | 785-562-2340
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | CHARIS DUNLAP
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Credential | R.PH.
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Telephone | 785-562-3196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2-13055
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License Number State | KS
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