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General NPI Number Information
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NPI Number | 1467513531
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Entity Type | Organization
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Legal Business Name | QUEEN ENTERPRISES L L C
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 7201 W 151ST ST
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City | OVERLAND PARK
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State | KS
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Zip | 66223-2229
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Country | US
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Telephone | 913-897-0023
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Fax | 913-814-0897
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Provider Business Mailing Address
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Address Line | 7201 W 151ST ST
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City | OVERLAND PARK
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State | KS
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Zip | 66223-2229
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Country | US
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Telephone | 913-897-0023
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Fax | 913-814-0897
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | TONI SHIELDS
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Credential | RPH
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Telephone | 913-378-6938
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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 | 2-08578
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License Number State | KS
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