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General NPI Number Information
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NPI Number | 1558574830
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Entity Type | Organization
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Legal Business Name | REEDSBURG AREA MEDICAL CENTER PHARMACY
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 2000 N DEWEY AVE
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City | REEDSBURG
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State | WI
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Zip | 53959-1049
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Country | US
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Telephone | 608-768-6261
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Fax | 608-768-6299
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Provider Business Mailing Address
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Address Line | 2000 N DEWEY AVE
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City | REEDSBURG
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State | WI
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Zip | 53959-1049
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Country | US
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Telephone | 608-768-6261
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Fax | 608-768-6299
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | HANNET AMBORD
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Credential | RPH
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Telephone | 608-768-6261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 7007-042
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License Number State | WI
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