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General NPI Number Information
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NPI Number | 1609120559
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Entity Type | Organization
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Legal Business Name | SCIRX INC.
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 400 US ROUTE 1 SUITE C
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City | FALMOUTH
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State | ME
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Zip | 04105-1386
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Country | US
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Telephone | 207-619-7272
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Fax | 207-619-7273
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Provider Business Mailing Address
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Address Line | 400 US ROUTE 1 SUITE C
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City | FALMOUTH
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State | ME
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Zip | 04105-1386
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Country | US
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Telephone | 207-619-7272
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Fax | 207-619-7273
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Authorized Official
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Title or Position | OWNER AND COMPOUNDING PHARMACIST
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Name | MR. RICHARD MILLER ALLRED
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Credential | R. PH
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Telephone | 207-619-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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