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General NPI Number Information
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NPI Number | 1619291671
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Entity Type | Organization
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Legal Business Name | A & A DRUG COMPANY
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 1855 N AIRPORT RD
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City | FREMONT
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State | NE
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Zip | 68025-2965
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Country | US
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Telephone | 402-753-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 224 N PARK AVE
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City | FREMONT
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State | NE
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Zip | 68025-4964
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Country | US
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Telephone | 402-753-2801
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Fax | 888-810-1394
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | CHRISTY PITI
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Credential |
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Telephone | 402-753-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 2997
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License Number State | NE
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