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General NPI Number Information
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NPI Number | 1588754725
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Entity Type | Organization
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Legal Business Name | 50-PLUS PHARMACY INC.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 211 W LEXINGTON AVE
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City | INDEPENDENCE
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State | MO
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Zip | 64050-3709
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Country | US
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Telephone | 816-833-5060
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Fax | 816-461-0638
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Provider Business Mailing Address
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Address Line | 211 W LEXINGTON AVE
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City | INDEPENDENCE
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State | MO
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Zip | 64050-3709
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Country | US
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Telephone | 816-833-5060
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Fax | 816-461-0638
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | PAMELA M WAUGH
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Credential |
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Telephone | 816-833-5060
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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 | 005400
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License Number State | MO
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