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General NPI Number Information
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NPI Number | 1407867914
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Entity Type | Organization
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Legal Business Name | LOW COST RX 2 INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 8375 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-6014
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Country | US
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Telephone | 317-881-8262
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Fax | 317-881-9008
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Provider Business Mailing Address
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Address Line | 8375 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-6014
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Country | US
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Telephone | 317-881-8262
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Fax | 317-881-9008
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Authorized Official
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Title or Position | OWNER
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Name | TERRY COLE
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Credential |
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Telephone | 317-881-8262
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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 | 60005206A
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License Number State | IN
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