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General NPI Number Information
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NPI Number | 1649357088
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Entity Type | Organization
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Legal Business Name | HAMLIN PHARMACY INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 3800 W MADISON ST
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City | CHICAGO
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State | IL
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Zip | 60624-2334
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Country | US
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Telephone | 773-826-3222
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Fax | 773-826-3406
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Provider Business Mailing Address
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Address Line | 3800 W MADISON ST
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City | CHICAGO
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State | IL
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Zip | 60624-2334
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Country | US
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Telephone | 773-826-3222
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Fax | 773-826-3406
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Authorized Official
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Title or Position | EXECT MANG
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Name | EDWARD FOX
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Credential |
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Telephone | 847-673-2424
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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 | 05412011
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License Number State | IL
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