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General NPI Number Information
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NPI Number | 1447075643
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Entity Type | Organization
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Legal Business Name | KIOWA PHARMACY, INC.
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1201 OLIVE ST
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City | GAINESVILLE
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State | TX
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Zip | 76240-3501
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Country | US
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Telephone | 940-668-7384
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2407
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City | SHERMAN
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State | TX
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Zip | 75091-2407
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Country | US
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Telephone | 903-893-0677
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Fax |
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Authorized Official
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Title or Position | ACCESS MANAGER
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Name | RHONDA HINDSLEY
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Credential |
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Telephone | 903-893-0677
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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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