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General NPI Number Information
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NPI Number | 1437109519
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Entity Type | Organization
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Legal Business Name | FLOW'S PHARMACY INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 1506 E BROADWAY
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City | COLUMBIA
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State | MO
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Zip | 65201-8078
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Country | US
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Telephone | 573-449-5366
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Fax | 573-443-7938
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Provider Business Mailing Address
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Address Line | 1506 E BROADWAY
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City | COLUMBIA
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State | MO
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Zip | 65201-8078
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Country | US
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Telephone | 573-449-5366
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Fax | 573-443-7938
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Authorized Official
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Title or Position | ONWER-MANAGER
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Name | ANTHONY DESHA
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Credential |
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Telephone | 573-449-5366
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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 |
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License Number State |
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