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General NPI Number Information
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NPI Number | 1487672390
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Entity Type | Organization
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Legal Business Name | WESTFIELD PHARMACY, INC.
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 103 S UNION ST
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City | WESTFIELD
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State | IN
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Zip | 46074-9458
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Country | US
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Telephone | 317-896-9378
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Fax | 317-896-2731
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Provider Business Mailing Address
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Address Line | 103 S UNION ST
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City | WESTFIELD
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State | IN
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Zip | 46074-9458
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Country | US
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Telephone | 317-896-9378
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Fax | 317-896-2731
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID L WEISS
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Credential |
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Telephone | 317-896-9378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60002780A
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License Number State | IN
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