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General NPI Number Information
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NPI Number | 1437636404
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Entity Type | Organization
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Legal Business Name | WEBBS FAMILY PHARMACY 3 LLC
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 12/22/2018
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Provider Practice Location Address
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Address Line | 103 N HEETER ST
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City | NORTH MANCHESTER
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State | IN
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Zip | 46962
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Country | US
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Telephone | 260-982-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 103 N HEETER ST
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City | NORTH MANCHESTER
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State | IN
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Zip | 46962-1956
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Country | US
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Telephone | 260-982-1000
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | HARRY ROBERT WEBB
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Credential | PD
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Telephone | 260-982-1000
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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 | 600006680A
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License Number State | IN
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