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General NPI Number Information
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NPI Number | 1386703148
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Entity Type | Organization
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Legal Business Name | PHARMACY CARE CONSULTANTS
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3185 AMHERST CIR
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City | IDAHO FALLS
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State | ID
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Zip | 83404-8319
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Country | US
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Telephone | 208-524-9113
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Fax |
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Provider Business Mailing Address
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Address Line | 3185 AMHERST CIR
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City | IDAHO FALLS
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State | ID
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Zip | 83404-8319
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Country | US
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Telephone | 208-524-9113
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANK GERALD EGBERT
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Credential | PHARM D
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Telephone | 208-524-9113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P5494
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License Number State | ID
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