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General NPI Number Information
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NPI Number | 1528097508
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PHARMACY SERVICES INC.
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 1024 LEMAY AVE
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City | FORT COLLINS
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State | CO
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Zip | 80524
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Country | US
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Telephone | 970-495-8040
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Fax | 970-495-7616
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Provider Business Mailing Address
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Address Line | 653 DENVER AVE
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City | LOVELAND
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State | CO
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Zip | 80537-5128
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Country | US
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Telephone | 970-461-1975
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Fax | 970-461-4042
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICKI EINHELLIG
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Credential | RPH
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Telephone | 970-461-1975
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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 | 44-27
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License Number State | CO
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