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General NPI Number Information
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NPI Number | 1316407018
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Entity Type | Organization
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Legal Business Name | HARLAN PHARMACY, LLC
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 1024 5TH ST
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City | HARLAN
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State | IA
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Zip | 51537-1427
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Country | US
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Telephone | 712-235-7979
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Fax | 712-755-9978
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Provider Business Mailing Address
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Address Line | PO BOX 375
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City | HARLAN
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State | IA
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Zip | 51537-0375
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Country | US
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Telephone | 712-579-2475
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JEAN FELDMAN
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Credential |
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Telephone | 712-235-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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