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General NPI Number Information
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NPI Number | 1649281213
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Entity Type | Organization
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Legal Business Name | CIVIC CENTER PHARMACY, LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 7331 E OSBORN DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-945-9519
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Fax | 480-275-7812
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Provider Business Mailing Address
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Address Line | 7331 E OSBORN DR #208
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-945-9519
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Fax | 480-278-7812
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Authorized Official
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Title or Position | VP/SECRETARY/MANAGER
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Name | AUSTIN CHRISTOPHER MURPHY
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Credential |
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Telephone | 305-808-9838
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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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Taxonomy #3
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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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