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General NPI Number Information
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NPI Number | 1538101001
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Entity Type | Organization
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Legal Business Name | INDEPENDENT PHARMACIST RELIEF SERVICES
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 209 W MAIN AVE
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City | RITZVILLE
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State | WA
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Zip | 99169-1409
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Country | US
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Telephone | 509-659-0250
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Fax | 509-659-1763
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Provider Business Mailing Address
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Address Line | 209 W MAIN AVE P.O. BOX 43
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City | RITZVILLE
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State | WA
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Zip | 99169-1409
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Country | US
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Telephone | 509-659-0250
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Fax | 509-659-1763
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Authorized Official
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Title or Position | PRESIDENT
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Name | CORRINA GRAY
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Credential | PHARMD
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Telephone | 509-659-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHARCF00058197
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License Number State | WA
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