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General NPI Number Information
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NPI Number | 1649936238
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Entity Type | Organization
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Legal Business Name | KEARNEY COMPANY
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 554 NORTH MILL ROAD F-103
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City | VINEYARD
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State | UT
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Zip | 84059
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Country | US
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Telephone | 801-655-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 554 NORTH MILL ROAD F103
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City | VINEYARD
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State | UT
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Zip | 84059-4005
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Country | US
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Telephone | 801-655-5820
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Fax | 801-655-5821
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Authorized Official
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Title or Position | OWNER
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Name | MR. PETER MORRIS KEARNEY
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Credential | RPH
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Telephone | 801-830-9366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order 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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