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General NPI Number Information
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NPI Number | 1447362389
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Entity Type | Organization
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Legal Business Name | B & D PHARMACY INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 1 PROFESSIONAL DR STE 170
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City | ALTON
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State | IL
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Zip | 62002-5069
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Country | US
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Telephone | 618-463-0000
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Fax | 618-463-0008
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Provider Business Mailing Address
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Address Line | 1 PROFESSIONAL DR STE 170
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City | ALTON
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State | IL
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Zip | 62002-5069
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Country | US
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Telephone | 618-463-0000
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Fax | 618-463-0008
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Authorized Official
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Title or Position | CO OWNER
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Name | KENNETH DUCHNOWSKI
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Credential | RPH
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Telephone | 618-463-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054013343
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License Number State | IL
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