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General NPI Number Information
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NPI Number | 1548458219
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Entity Type | Organization
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Legal Business Name | THRIFTY PHARMACY
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 100 W NORTH AVE
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City | FLORA
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State | IL
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Zip | 62839-1612
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Country | US
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Telephone | 619-662-9404
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W NORTH AVE
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City | FLORA
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State | IL
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Zip | 62839-1612
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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 | PRESIDENT/OWNER
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Name | MR. THOMAS P. GLOVER
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Credential | RPH
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Telephone | 270-667-2049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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