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NPI 1285104562

NPI 1285104562 : LEMONAID PHARMACY, LLC : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1285104562
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEMONAID PHARMACY, LLC 
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Dates
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    Enumeration Date     |    11/29/2018
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    Last Update Date     |    11/29/2018
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Provider Practice Location Address
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    Address Line         |    1015 LOCUST ST STE 420 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63101-1333
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    Country              |    US
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    Telephone            |    888-536-6670
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    Fax                  |    888-536-6670
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Provider Business Mailing Address
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    Address Line         |    1015 LOCUST ST STE 420 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63101-1333
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    Country              |    US
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    Telephone            |    888-536-6670
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    Fax                  |    888-536-6670
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Authorized Official
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    Title or Position    |    PHARMACY MANAGER
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    Name                 |     JOHN  GUTHRIE 
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    Credential           |    
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    Telephone            |    731-694-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336M0002X
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    Taxonomy Name        |    Mail Order Pharmacy
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    License Number       |    
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    License Number State |    
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