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General NPI Number Information
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NPI Number | 1568909679
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Entity Type | Organization
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Legal Business Name | AMHERST PHARMACY LLC
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 19 MONTAGUE RD
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City | AMHERST
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State | MA
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Zip | 01002-1027
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Country | US
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Telephone | 413-992-2145
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Fax | 413-992-2143
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Provider Business Mailing Address
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Address Line | 381 COLLEGE ST
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City | AMHERST
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State | MA
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Zip | 01002-2391
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Country | US
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Telephone | 413-253-0387
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Fax | 413-253-0389
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Authorized Official
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Title or Position | PHARMACIST
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Name | IOANNIS NIKITAS
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Credential |
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Telephone | 413-256-1716
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | DS90076
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License Number State | MA
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