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General NPI Number Information
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NPI Number | 1356842181
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Entity Type | Organization
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Legal Business Name | AMERICAN PREMIER PHARMACY LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 11070 N 24TH AVE STE 150
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City | PHOENIX
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State | AZ
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Zip | 85029-4705
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Country | US
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Telephone | 602-795-8664
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Fax | 602-795-8665
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Provider Business Mailing Address
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Address Line | 11070 N 24TH AVE STE 150
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City | PHOENIX
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State | AZ
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Zip | 85029-4705
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Country | US
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Telephone | 602-795-8664
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Fax | 602-795-8665
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Authorized Official
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Title or Position | CEO
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Name | DR. GUY SIMON FRASER HENDERSON
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Credential | PHARMD
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Telephone | 602-795-8664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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