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General NPI Number Information
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NPI Number | 1598489510
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Entity Type | Organization
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Legal Business Name | KREMER PHARMACY INC.
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 12 N 3RD ST
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City | ALTAMONT
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State | IL
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Zip | 62411-1408
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Country | US
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Telephone | 618-483-5100
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Fax | 618-483-3344
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | TEUTOPOLIS
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State | IL
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Zip | 62467-0275
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Country | US
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Telephone | 217-857-3000
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Fax | 217-857-3008
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Authorized Official
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Title or Position | OWNER
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Name | DUANE E KREMER
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Credential |
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Telephone | 217-857-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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