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General NPI Number Information
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NPI Number | 1659533362
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Entity Type | Organization
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Legal Business Name | REGIONS HOSPITAL INPATIENT PHARMACY
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 640 JACKSON ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-2502
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Country | US
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Telephone | 651-254-3592
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Fax | 651-254-9539
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Provider Business Mailing Address
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Address Line | 640 JACKSON ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-2502
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Country | US
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Telephone | 651-254-3592
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Fax | 651-254-9539
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Authorized Official
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Title or Position | MANAGER BUSINESS OPERATION
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Name | TY CAMPBELL
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Credential |
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Telephone | 651-254-3528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 200443
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License Number State | MN
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