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General NPI Number Information
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NPI Number | 1619990694
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Entity Type | Organization
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Legal Business Name | KASSON DRUG INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 503 6TH ST
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City | ARMSTRONG
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State | IA
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Zip | 50514-0666
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Country | US
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Telephone | 712-868-3502
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Fax | 712-868-3280
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Provider Business Mailing Address
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Address Line | PO BOX 500
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City | ARMSTRONG
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State | IA
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Zip | 50514-0500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE OWNER
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Name | BRENT KASSON
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Credential | RPH
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Telephone | 712-868-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail 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 | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | IA640
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License Number State | IA
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