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General NPI Number Information
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NPI Number | 1326768722
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Entity Type | Organization
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Legal Business Name | MY NEIGHBOR'S CHARITABLE PHARMACY
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1232 BRANSON HILLS PKWY STE 102
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City | BRANSON
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State | MO
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Zip | 65616-4189
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Country | US
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Telephone | 417-213-9400
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Fax | 417-213-9410
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Provider Business Mailing Address
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Address Line | 610 S 6TH ST
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City | BRANSON
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State | MO
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Zip | 65616-2843
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Country | US
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Telephone | 417-336-9355
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Fax | 417-334-4427
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR AND PHARMACIST
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Name | DR. HENRY IRVIN
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Credential | PHARMD
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Telephone | 417-213-9400
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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 | 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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