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General NPI Number Information
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NPI Number | 1548865314
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Entity Type | Organization
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Legal Business Name | WINDROSE FAMILY PHARMACIES, LLC
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 5550 S EAST ST STE F
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1991
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Country | US
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Telephone | 317-739-4895
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Fax |
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Provider Business Mailing Address
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Address Line | 1052 GREENWOOD SPRINGS BLVD STE H
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City | GREENWOOD
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State | IN
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Zip | 46143-6896
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Country | US
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Telephone | 317-739-4895
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SCOTT K ROLLETT
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Credential |
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Telephone | 317-739-4895
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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 |
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License Number State |
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