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General NPI Number Information
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NPI Number | 1508043092
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Entity Type | Organization
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Legal Business Name | PHILLIPS DRUGS INC
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 1390 NATIONAL RD W
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City | RICHMOND
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State | IN
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Zip | 47374-5143
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Country | US
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Telephone | 765-966-5546
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Fax | 765-966-1497
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Provider Business Mailing Address
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Address Line | 631 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-4309
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Country | US
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Telephone | 765-966-5546
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAY ZALESKI
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Credential |
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Telephone | 765-966-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60006121A
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License Number State | IN
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