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General NPI Number Information
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NPI Number | 1548256860
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Entity Type | Organization
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Legal Business Name | SHERMAN'S PHARMACY
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 122 SW 1ST ST.
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City | ATLANTA
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State | IL
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Zip | 61723-0566
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Country | US
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Telephone | 217-648-2328
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Fax | 217-648-2329
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Provider Business Mailing Address
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Address Line | PO BOX 566
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City | ATLANTA
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State | IL
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Zip | 61723-0566
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Country | US
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Telephone | 217-648-2328
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Fax | 217-648-2329
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Authorized Official
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Title or Position | R.PH./OWNER
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Name | JOHN S SHERMAN
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Credential |
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Telephone | 217-648-2328
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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 | IL
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