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General NPI Number Information
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NPI Number | 1548296270
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Entity Type | Organization
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Legal Business Name | CIOLINO PHARMACY INC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 1401 VETERANS BLVD
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City | METAIRIE
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State | LA
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Zip | 70005-2734
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Country | US
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Telephone | 504-834-1570
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Fax | 504-833-4148
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Provider Business Mailing Address
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Address Line | 1401 VETERANS BLVD
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City | METAIRIE
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State | LA
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Zip | 70005-2734
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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 | GENERAL MANAGER
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Name | ADAM MYERS
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Credential | PHARMD
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Telephone | 504-834-1570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5737IR
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License Number State | LA
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