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General NPI Number Information
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NPI Number | 1396802476
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Entity Type | Organization
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Legal Business Name | SCHULTZ PHARMACY INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 220 N MAIN ST
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City | OSHKOSH
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State | WI
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Zip | 54901-4815
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Country | US
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Telephone | 920-233-2151
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Fax | 920-233-6333
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Provider Business Mailing Address
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Address Line | 220 N MAIN
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City | OSHKOSH
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State | WI
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Zip | 54901
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Country | US
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Telephone | 920-233-2151
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Fax | 920-233-6333
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Authorized Official
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Title or Position | OWNER
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Name | MR. KENNETH JOSEPH BRESSERS
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Credential |
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Telephone | 920-233-2151
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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 | 6167
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License Number State |
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