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General NPI Number Information
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NPI Number | 1528439775
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Entity Type | Organization
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Legal Business Name | DOC PHARMACY SERVICES
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 20403 OLD HIGHWAY 9 SW
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City | CENTRALIA
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State | WA
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Zip | 98531-7915
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Country | US
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Telephone | 360-664-3400
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Fax | 360-664-3410
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Provider Business Mailing Address
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Address Line | 20403 OLD HIGHWAY 9 SW
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City | CENTRALIA
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State | WA
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Zip | 98531-7915
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Country | US
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Telephone | 360-664-3400
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Fax | 360-664-3410
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Authorized Official
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Title or Position | CONTRACTS ADMINISTRATOR
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Name | DARYL A HUNTSINGER
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Credential |
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Telephone | 564-999-3950
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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 | PHAR.CF.60488322
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License Number State | WA
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