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General NPI Number Information
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NPI Number | 1346656725
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Entity Type | Organization
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Legal Business Name | HEALTHCARE PHARMACY LLC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 789 BAMBERGER DR SUITE B
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2181
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Country | US
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Telephone | 180-122-5108
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Fax | 180-122-5106
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Provider Business Mailing Address
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Address Line | 789 BAMBERGER DR SUITE B
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2181
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Country | US
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Telephone | 180-122-5108
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Fax | 180-122-5106
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Authorized Official
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Title or Position | OWNER
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Name | MR. AARON JENKINS
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Credential |
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Telephone | 801-400-3073
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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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