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General NPI Number Information
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NPI Number | 1558838763
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Entity Type | Organization
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Legal Business Name | PHARMAX PARTNERS, INC.
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 116 WALNUT ST
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City | FESTUS
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State | MO
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Zip | 63028-1848
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Country | US
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Telephone | 636-937-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 10227 HARTSHILL LN
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2621
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Country | US
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Telephone | 314-954-5510
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Fax | 573-431-2362
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Authorized Official
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Title or Position | PRESIDENT
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Name | LARRY T MCINTOSH
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Credential |
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Telephone | 314-954-5510
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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 |
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License Number State |
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