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General NPI Number Information
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NPI Number | 1518192442
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Entity Type | Organization
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Legal Business Name | PHARMACY ALTERNATIVES LLC
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 03/24/2017
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Provider Practice Location Address
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Address Line | 501 W LAKE ST SUITE 105
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City | ELMHURST
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State | IL
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Zip | 60126-1419
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Country | US
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Telephone | 630-516-1211
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Fax | 630-516-1224
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Provider Business Mailing Address
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Address Line | 9901 LINN STATION RD
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City | LOUISVILLE
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State | KY
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Zip | 40223-3808
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Country | US
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Telephone | 630-516-1211
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Fax | 630-516-1224
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Authorized Official
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Title or Position | PARALEGAL
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Name | MARY A PANK
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Credential |
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Telephone | 502-420-2666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 054017160
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License Number State | IL
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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 | 263807
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 2012006851
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 4555
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License Number State | IA
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