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General NPI Number Information
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NPI Number | 1619097961
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Entity Type | Organization
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Legal Business Name | WADHAMS APOTHECARY INC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 3100 N WEST ST STE 200A STE 200A
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-1651
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Country | US
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Telephone | 928-774-5004
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Fax | 928-774-5003
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Provider Business Mailing Address
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Address Line | 3100 N WEST ST STE 200A STE 200A
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-1651
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Country | US
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Telephone | 928-774-5004
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Fax | 928-774-5003
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Authorized Official
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Title or Position | PRES
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Name | SHARON WADHAMS
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Credential | PHARMD
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Telephone | 928-774-5004
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y004735
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License Number State | AZ
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