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General NPI Number Information
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NPI Number | 1609001395
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD PHARMACY
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Dates
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Enumeration Date | 05/25/2009
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 2251 E 21ST ST N SUITE 121
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City | WICHITA
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State | KS
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Zip | 67214-1972
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Country | US
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Telephone | 316-665-4427
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Fax | 888-252-7110
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Provider Business Mailing Address
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Address Line | NEIGHBORHOOD PHARMACY P.O. BOX 685
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City | WICHITA
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State | KS
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Zip | 67201
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Country | US
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Telephone | 316-665-4427
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Fax | 888-252-7110
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Authorized Official
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Title or Position | OWNER
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Name | EBUBE OTUONYE
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Credential |
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Telephone | 316-665-4427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2-10326
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License Number State | KS
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