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General NPI Number Information
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NPI Number | 1518251909
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Entity Type | Organization
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Legal Business Name | AIRPARK PHARMACY, LLC
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 15021 N 74TH ST STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2497
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Country | US
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Telephone | 480-319-9749
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Fax | 602-792-3825
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Provider Business Mailing Address
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Address Line | 15021 N 74TH ST SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2497
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Country | US
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Telephone | 480-319-9749
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Fax | 602-792-3825
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Authorized Official
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Title or Position | RPH-MEMBER
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Name | JOHN DISCERNI
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Credential |
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Telephone | 480-319-9749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | Y005338
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License Number State | AZ
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