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General NPI Number Information
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NPI Number | 1598788960
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Entity Type | Organization
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Legal Business Name | DIGHTON DRUG PARTNERSHIP
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 136 E LONG ST
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City | DIGHTON
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State | KS
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Zip | 67839-0548
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Country | US
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Telephone | 620-397-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 136 E LONG ST PO BOX 548
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City | DIGHTON
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State | KS
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Zip | 67839-0548
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Country | US
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Telephone | 620-397-5331
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MARILYN SUE MIX
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Credential | RPH
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Telephone | 620-397-5331
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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 | 2-08520
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License Number State | KS
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