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General NPI Number Information
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NPI Number | 1558781278
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Entity Type | Organization
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Legal Business Name | FLOW'S PHARMACY, INC
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 303 N KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-7193
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Country | US
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Telephone | 573-447-8093
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Fax | 573-447-8095
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Provider Business Mailing Address
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Address Line | 303 N KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-7193
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Country | US
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Telephone | 573-447-8093
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Fax | 573-447-8095
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | JOHN RANDAL FLOW
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Credential | RPH
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Telephone | 573-826-1236
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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 | 2014012001
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License Number State | MO
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