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General NPI Number Information
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NPI Number | 1518272673
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 10 BARNES WEST DR BUILDING 2, SUITE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6350
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Country | US
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Telephone | 314-996-3403
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Fax | 314-996-3385
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Provider Business Mailing Address
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Address Line | 10 BARNES WEST DR BUILDING 2, SUITE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6350
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Country | US
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Telephone | 314-996-3403
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Fax | 314-996-3385
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MELINDA CORLEY
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Credential | RPH
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Telephone | 314-996-3403
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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 | 2010026615
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License Number State | MO
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