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General NPI Number Information
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NPI Number | 1285189241
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Entity Type | Organization
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Legal Business Name | APOLLO PHARMACY LLC
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 16697 WASHINGTON ST
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City | THORNTON
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State | CO
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Zip | 80023-8970
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Country | US
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Telephone | 303-280-7020
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Fax | 303-803-4763
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Provider Business Mailing Address
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Address Line | 16697 WASHINGTON ST
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City | THORNTON
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State | CO
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Zip | 80023-8970
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Country | US
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Telephone | 303-280-7020
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Fax | 303-803-4763
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Authorized Official
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Title or Position | OWNER, AO, PHCY MANAGER, PIC
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Name | CHRISTOPHER OZA
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Credential |
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Telephone | 303-280-7020
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PDO1680000120
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License Number State | CO
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