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General NPI Number Information
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NPI Number | 1558359372
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Entity Type | Organization
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Legal Business Name | G AND R INC
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 217 MAIN ST
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City | NYSSA
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State | OR
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Zip | 97913-3843
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Country | US
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Telephone | 541-372-2222
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Fax | 541-372-2928
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Provider Business Mailing Address
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Address Line | 2790 W CHERRY LN STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-1102
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Country | US
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Telephone | 541-372-2222
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Fax | 541-372-2928
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. DEVIN R TRONE
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Credential | PHARMD
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Telephone | 208-288-1496
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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 |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 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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