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General NPI Number Information
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NPI Number | 1306300934
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Entity Type | Organization
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Legal Business Name | VALENTINE PHARMACY CONSULTANT SERVICES LLC
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 804 MULE CREEK DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-7408
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Country | US
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Telephone | 314-616-2388
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Fax |
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Provider Business Mailing Address
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Address Line | 804 MULE CREEK DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-7408
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Country | US
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Telephone | 314-616-2388
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Fax |
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Authorized Official
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Title or Position | CLIN PHARMACIST/PHARM CONSULTANT
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Name | DR. CHAUNCEIA JANEA HUGHLEY-VALENTINE
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Credential | PHARM D
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Telephone | 314-616-2388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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