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General NPI Number Information
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NPI Number | 1609264803
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Entity Type | Individual
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Provider Name | BRITTNEY NICOLE LAGER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 4010 WEDGEWAY COURT
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City | EARTH CITY
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State | MO
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Zip | 63045
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Country | US
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Telephone | 877-291-1122
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Fax | 877-291-1133
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Provider Business Mailing Address
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Address Line | 7918 GROVE ROAD
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City | EDWARDSVILLE
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State | IL
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Zip | 62025
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Country | US
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Telephone | 618-772-2623
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Fax | 877-291-1133
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 051.297670
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2014030251
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License Number State | MO
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