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General NPI Number Information
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NPI Number | 1568095115
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Entity Type | Organization
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Legal Business Name | SYRACUSE TOWN & COUNTRY PHARMACY, INC
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1710 POPLAR
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City | SYRACUSE
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State | NE
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Zip | 68446-6844
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Country | US
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Telephone | 402-269-2001
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Fax | 402-269-2828
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | SYRACUSE
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State | NE
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Zip | 68446-0220
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Country | US
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Telephone | 402-269-2001
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Fax | 402-269-2828
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | RONDA RENEE STINSON
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Credential |
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Telephone | 402-269-3847
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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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