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General NPI Number Information
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NPI Number | 1649096074
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Entity Type | Organization
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Legal Business Name | DOCTOR PHARMACY LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 8150 W PEORIA AVE
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City | PEORIA
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State | AZ
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Zip | 85345-6149
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Country | US
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Telephone | 602-888-4282
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Fax |
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Provider Business Mailing Address
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Address Line | 3233 S MCCLINTOCK DR
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City | TEMPE
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State | AZ
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Zip | 85282-5602
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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 | OWNER
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Name | SHAMMA HARESH BHANVADIA
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Credential |
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Telephone | 480-381-3092
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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 | 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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