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General NPI Number Information
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NPI Number | 1477564045
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Entity Type | Organization
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Legal Business Name | GRUNOW UNITED PHARMACY INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 926 E MCDOWELL RD STE 109
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City | PHOENIX
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State | AZ
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Zip | 85006-2503
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Country | US
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Telephone | 602-254-7397
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Fax | 602-254-7453
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Provider Business Mailing Address
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Address Line | 926 E MCDOWELL RD STE 109
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City | PHOENIX
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State | AZ
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Zip | 85006-2503
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Country | US
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Telephone | 602-254-7397
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Fax | 602-254-7453
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Authorized Official
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Title or Position | PRESIDENT AND PIC
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Name | SHIRLEY WOOLLUMS
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Credential | RPH
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Telephone | 602-254-7397
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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 | Y002735
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License Number State | AZ
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