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General NPI Number Information
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NPI Number | 1447284666
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Entity Type | Organization
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Legal Business Name | ANKENY APOTHECARY, INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 107 NE DELAWARE AVE STE 6
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City | ANKENY
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State | IA
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Zip | 50021-6691
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Country | US
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Telephone | 515-964-8550
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Fax | 515-963-4055
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Provider Business Mailing Address
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Address Line | 107 NE DELAWARE AVE STE 6
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City | ANKENY
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State | IA
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Zip | 50021-6691
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Country | US
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Telephone | 515-964-8550
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Fax | 515-963-4055
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Authorized Official
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Title or Position | PHARMACIST/MANAGER
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Name | JENNIFER D MEURER
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Credential | PHARM.D.
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Telephone | 515-964-8550
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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 | 728
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License Number State | IA
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