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General NPI Number Information
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NPI Number | 1538899596
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Entity Type | Organization
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Legal Business Name | MANITOWOC PHARMACIES INC
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 121 N SAINT AUGUSTINE ST
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City | PULASKI
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State | WI
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Zip | 54162-7982
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Country | US
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Telephone | 920-822-3011
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Fax | 920-822-3852
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Provider Business Mailing Address
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Address Line | PO BOX 200
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City | PULASKI
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State | WI
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Zip | 54162-0200
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Country | US
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Telephone | 920-822-3011
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Fax | 920-822-3852
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. TIMOTHY P STARRY
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Credential |
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Telephone | 920-822-3011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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