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General NPI Number Information
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NPI Number | 1548215593
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Entity Type | Organization
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Legal Business Name | COFII CORPORATION
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 2202 W CHARLESTON BLVD STE 13
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City | LAS VEGAS
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State | NV
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Zip | 89102-2232
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Country | US
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Telephone | 702-384-3784
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Fax | 702-384-3796
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Provider Business Mailing Address
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Address Line | PO BOX 9830
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City | SALT LAKE CITY
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State | UT
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Zip | 84109-9830
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Country | US
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Telephone | 877-540-4748
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Fax | 801-716-4872
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROCKELL HANKIN
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Credential | RPH
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Telephone | 310-556-4422
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH02132
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License Number State | NV
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