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General NPI Number Information
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NPI Number | 1528316908
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Entity Type | Organization
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Legal Business Name | PHARMAKON PHARMACEUTICALS
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 801 CONGRESSIONAL BLVD STE 200B
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City | CARMEL
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State | IN
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Zip | 46032-5646
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Country | US
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Telephone | 800-947-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 801 CONGRESSIONAL BLVD STE 200B
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City | CARMEL
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State | IN
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Zip | 46032-5646
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Country | US
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Telephone | 800-947-2711
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. PAUL ELMER
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Credential | RPH
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Telephone | 800-947-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 60006167A/B
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License Number State | IN
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