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General NPI Number Information
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NPI Number | 1548200298
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 4241 STATE HIGHWAY 14
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City | CHRISTOPHER
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State | IL
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Zip | 62822-1037
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Country | US
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Telephone | 618-724-2136
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Fax | 618-724-1669
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | CHRISTOPHER
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State | IL
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Zip | 62822-0155
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Country | US
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Telephone | 618-724-2136
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Fax | 618-724-1669
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | JULIE BOLES
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Credential | RPH
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Telephone | 618-724-2136
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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 |
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License Number State |
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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 | 054014482
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License Number State | IL
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