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General NPI Number Information
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NPI Number | 1578987814
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Entity Type | Organization
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Legal Business Name | MSRX INC
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 67 01 AUSTIN ST
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 718-459-0090
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Fax | 718-459-8090
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Provider Business Mailing Address
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Address Line | 6025 JEAN RD
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-5307
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Country | US
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Telephone | 503-704-1485
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Fax | 503-344-4994
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Authorized Official
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Title or Position | OWNER
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Name | MARY ANDERSEN
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Credential |
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Telephone | 503-704-1485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 32632
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License Number State | NY
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