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General NPI Number Information
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NPI Number | 1548353196
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Entity Type | Organization
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Legal Business Name | TOWN & COUNTRY PHARMACIES, INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 404 W. SECOND ST.
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City | BLOOMINGTON
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State | IN
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Zip | 47403
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Country | US
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Telephone | 812-336-2191
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Fax |
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Provider Business Mailing Address
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Address Line | 404 W. SECOND ST.
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City | BLOOMINGTON
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State | IN
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Zip | 47403
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Country | US
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Telephone | 812-336-2191
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD SCHREIBER
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Credential |
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Telephone | 636-227-6962
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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 | 60005725A
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License Number State | IN
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