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General NPI Number Information
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NPI Number | 1407911837
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Entity Type | Organization
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Legal Business Name | S-S PHARMACY, INC.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 235 W BROADWAY
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-9004
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Country | US
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Telephone | 712-328-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 235 W BROADWAY
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-9004
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Country | US
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Telephone | 712-328-3344
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | WILLIAM SHIPLEY
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Credential | PHARMD
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Telephone | 712-328-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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