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General NPI Number Information
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NPI Number | 1538252978
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Entity Type | Organization
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Legal Business Name | PERKWELL INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2201 W BROADWAY BAY 8
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-3605
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Country | US
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Telephone | 712-325-8676
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Fax | 712-325-9765
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Provider Business Mailing Address
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Address Line | 2201 W BROADWAY BAY 8
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-3605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND PHARMACIST
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Name | DAVID PERKINS
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Credential |
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Telephone | 712-325-8676
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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 | 13
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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