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General NPI Number Information
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NPI Number | 1417339102
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Entity Type | Organization
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Legal Business Name | WHEELS'S PHARMACY
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 3002 PEAR ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64503-1223
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Country | US
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Telephone | 816-901-9932
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Fax | 816-901-9944
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Provider Business Mailing Address
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Address Line | 3606 BECK RD
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2275
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Country | US
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Telephone | 816-901-9932
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Fax | 816-901-9944
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEROME L WHEELER
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Credential | BS PHARMACY
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Telephone | 816-260-6346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2015019420
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License Number State | MO
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