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General NPI Number Information
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NPI Number | 1508871146
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Entity Type | Organization
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Legal Business Name | CHURCH & SCOTT, INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 5396 STATE HIGHWAY 28
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City | COOPERSTOWN
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State | NY
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Zip | 13326-5710
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Country | US
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Telephone | 607-547-1228
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Fax | 607-547-1230
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Provider Business Mailing Address
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Address Line | 5396 STATE HIGHWAY 28
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City | COOPERSTOWN
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State | NY
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Zip | 13326-5710
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Country | US
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Telephone | 607-547-1228
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Fax | 607-547-1230
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT MAKOFSKE
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Credential | RPH
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Telephone | 607-547-1228
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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 | 021640
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License Number State | NY
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