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General NPI Number Information
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NPI Number | 1528121977
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Entity Type | Organization
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Legal Business Name | PAPA MEDICAL PHARMACY INC.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7239 W GRAND AVE
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-2054
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Country | US
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Telephone | 708-453-3464
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Fax | 708-453-3493
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Provider Business Mailing Address
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Address Line | 7239 W GRAND AVE
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-2054
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Country | US
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Telephone | 708-453-3464
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Fax | 708-453-3493
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Authorized Official
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Title or Position | PRESIDENT RPH
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Name | MR. GUY ZACHARY PAPA I
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Credential |
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Telephone | 708-453-3464
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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 | 54-14230
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License Number State | IL
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