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General NPI Number Information
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NPI Number | 1356484513
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Entity Type | Organization
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Legal Business Name | SWARD-KEMP DRUG CO INC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 207 SOUTH WASHINGTON STREET
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City | REDWOOD FALLS
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State | MN
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Zip | 56283
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Country | US
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Telephone | 507-637-2911
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Fax | 507-637-5869
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Provider Business Mailing Address
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Address Line | PO BOX 419
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City | REDWOOD FALLS
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State | MN
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Zip | 56283
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Country | US
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Telephone | 507-637-2911
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Fax | 507-637-5869
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN SCOTT NELSON
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Credential | PHARMD
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Telephone | 507-637-2911
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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 | 205042
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License Number State | MN
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