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General NPI Number Information
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NPI Number | 1518470707
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Entity Type | Organization
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Legal Business Name | ECONOMY DRUG, INC.
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Dates
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Enumeration Date | 11/09/2017
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Last Update Date | 11/09/2017
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Provider Practice Location Address
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Address Line | 696 AULTMAN ST
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City | ELY
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State | NV
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Zip | 89301-1555
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Country | US
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Telephone | 775-289-4929
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Fax |
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Provider Business Mailing Address
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Address Line | 696 AULTMAN ST
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City | ELY
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State | NV
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Zip | 89301-1555
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Country | US
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Telephone | 775-289-4929
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Fax |
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Authorized Official
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Title or Position | OWNER/PIC
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Name | ANDREW DALE BATH
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Credential | PHARMD
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Telephone | 775-289-4929
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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 | PH00021
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License Number State | NV
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