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General NPI Number Information
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NPI Number | 1588791586
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Entity Type | Organization
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Legal Business Name | POPLAR HEALTH CENTER PHARMACY
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 107 H ST E
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City | POPLAR
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State | MT
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Zip | 59255
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Country | US
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Telephone | 406-768-3491
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Fax | 406-768-3603
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Provider Business Mailing Address
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Address Line | 107 H ST E PO BOX 67
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City | POPLAR
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State | MT
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Zip | 59255
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Country | US
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Telephone | 406-768-3491
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Fax | 406-768-3603
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Authorized Official
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Title or Position | AREA BUSINESS OFFICE COORDINATOR
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Name | CYNTHIA LARSEN
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Credential |
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Telephone | 406-247-7184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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