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General NPI Number Information
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NPI Number | 1417749367
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Entity Type | Organization
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Legal Business Name | BOND DRUG STORE, LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 310 US HIGHWAY 50 W
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City | TIPTON
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State | MO
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Zip | 65081-8701
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Country | US
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Telephone | 660-433-6336
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Fax | 660-433-6320
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Provider Business Mailing Address
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Address Line | PO BOX 827
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City | TIPTON
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State | MO
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Zip | 65081-0827
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Country | US
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Telephone | 660-433-6336
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Fax | 660-433-6320
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN HARLOW HILLS
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Credential |
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Telephone | 573-216-1866
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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 |
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License Number State |
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