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General NPI Number Information
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NPI Number | 1518047950
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Entity Type | Organization
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Legal Business Name | DISCOUNT DRUGS WISCONSIN, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5100 WISCONSIN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20016-4119
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Country | US
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Telephone | 202-363-3466
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Fax | 202-363-5547
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Provider Business Mailing Address
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Address Line | 4301 RANDOLPH RD
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City | SILVER SPRING
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State | MD
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Zip | 20906-4630
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Country | US
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Telephone | 301-230-8930
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Fax | 301-946-8329
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. ARVIN G CHITALE
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Credential |
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Telephone | 301-230-8930
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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 | RX8800103
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License Number State | DC
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