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General NPI Number Information
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NPI Number | 1558432914
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Entity Type | Organization
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Legal Business Name | TARPEY PHARMACY
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 5933 N. CICERO AVE.
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City | CHICAGO
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State | IL
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Zip | 60646-5701
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Country | US
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Telephone | 773-545-0500
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Fax | 773-545-9062
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Provider Business Mailing Address
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Address Line | 5933 N. CICERO AVE.
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City | CHICAGO
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State | IL
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Zip | 60646-5701
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Country | US
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Telephone | 773-545-0500
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Fax | 773-545-9062
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK A TARPEY
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Credential |
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Telephone | 773-545-0500
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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 | 054005009
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License Number State | IL
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