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General NPI Number Information
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NPI Number | 1528002375
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Entity Type | Organization
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Legal Business Name | GOOD SHEPHERD D O B PHARMACY
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 450 W HIGHWAY 22
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City | BARRINGTON
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State | IL
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Zip | 60010-1901
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Country | US
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Telephone | 847-381-1230
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Fax | 847-381-4589
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Provider Business Mailing Address
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Address Line | 450 W HIGHWAY 22
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City | BARRINGTON
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State | IL
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Zip | 60010-1901
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST SUPERVISOR
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Name | ALLEN SOUNHEIN
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Credential |
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Telephone | 847-381-1230
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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 | 54010043
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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