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General NPI Number Information
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NPI Number | 1457669566
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Entity Type | Organization
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Legal Business Name | KIERNAN APOTHECARIES PLLC
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 7119 E SHEA BLVD STE 114
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6107
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Country | US
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Telephone | 480-948-7065
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Fax | 480-948-9489
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Provider Business Mailing Address
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Address Line | 7119 E SHEA BLVD STE 114
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6107
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Country | US
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Telephone | 480-948-7065
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Fax | 480-948-9489
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/OWNER
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Name | DR. DAVID W KIERNAN
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Credential | PHARM.D.
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Telephone | 480-948-7065
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | Y005948
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License Number State | AZ
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