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General NPI Number Information
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NPI Number | 1326283136
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Entity Type | Individual
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Provider Name | MCKENZIE A HARDER PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 1800 35TH ST TARGET PHARMACY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1104
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Country | US
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Telephone | 515-225-3170
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 35TH ST TARGET PHARMACY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1104
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Country | US
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Telephone | 515-225-3170
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 117585-3
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20931
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License Number State | IA
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