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General NPI Number Information
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NPI Number | 1477628055
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION CENTER PHARMACY
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 888 THACKERAY TRL STE 101
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City | OCONOMOWOC
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State | WI
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Zip | 53066-4342
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Country | US
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Telephone | 262-567-7267
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Fax | 262-567-7244
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Provider Business Mailing Address
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Address Line | 888 THACKERAY TRL STE 101
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City | OCONOMOWOC
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State | WI
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Zip | 53066-4342
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Country | US
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Telephone | 262-567-7267
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Fax | 262-567-7244
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Authorized Official
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Title or Position | OWNER
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Name | DAVID EICHSTAEDT
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Credential |
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Telephone | 262-567-7267
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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 | 789742
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License Number State | WI
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