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General NPI Number Information
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NPI Number | 1457358681
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Entity Type | Organization
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Legal Business Name | VILLAGE APOTHECARY, INC
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 E 8TH ST
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City | COZAD
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State | NE
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Zip | 69130-1728
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Country | US
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Telephone | 308-784-2111
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Fax | 308-784-2122
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Provider Business Mailing Address
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Address Line | 100 E 8TH ST
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City | COZAD
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State | NE
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Zip | 69130-1728
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Country | US
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Telephone | 308-784-2111
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Fax | 308-784-2122
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. MONICA LIN STRAUSS
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Credential | RP
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Telephone | 308-784-2111
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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 | 2474
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License Number State | NE
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