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General NPI Number Information
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NPI Number | 1639782766
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Entity Type | Individual
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Provider Name | PHILLIP P. ANDREWS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | FAST ACCESS SPECIALTY THERAPEUTICS/INTUCARE RX 2400 VETERANS MEMORIAL BLVD SUITE 480
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City | KENNER
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State | LA
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Zip | 70062
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Country | US
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Telephone | 877-327-8881
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Fax | 844-504-3278
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Provider Business Mailing Address
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Address Line | 6968 WHITMORE PLACE
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City | NEW ORLEANS
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State | LA
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Zip | 70128
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Country | US
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Telephone | 504-473-6349
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Fax |
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | PST.015873
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License Number State | LA
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