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General NPI Number Information
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NPI Number | 1568795102
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Entity Type | Organization
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Legal Business Name | JRK PHARMA INC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 7631 212TH ST SW STE D-100
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-493-6835
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Fax |
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Provider Business Mailing Address
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Address Line | 7631 212TH ST SW STE D-100
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City | EDMONDS
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State | WA
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Zip | 98026-7565
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Country | US
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Telephone | 425-493-6835
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANGER
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Name | SAIKRISHNA ARUMILLI ARUMILLI
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Credential |
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Telephone | 425-346-2148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | CF60103930
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License Number State | WA
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