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General NPI Number Information
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NPI Number | 1356384614
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Entity Type | Organization
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Legal Business Name | CARLS PHARMACY
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 306 E MAIN ST
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City | ASPEN
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State | CO
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Zip | 81611-1930
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Country | US
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Telephone | 970-925-3273
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Fax | 970-544-0961
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Provider Business Mailing Address
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Address Line | PO BOX 1365
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City | ASPEN
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State | CO
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Zip | 81612-1365
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Country | US
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Telephone | 970-925-3273
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Fax | 970-544-0961
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Authorized Official
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Title or Position | PIC, AO
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Name | STACY ADLER
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Credential | RPH
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Telephone | 990-925-3273
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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 | PDO50000002
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License Number State | CO
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