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General NPI Number Information
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NPI Number | 1659633907
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Entity Type | Organization
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Legal Business Name | PHARMACY EXPRESS SERVICES INC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 349 N 78TH ST
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City | OMAHA
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State | NE
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Zip | 68114-3640
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Country | US
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Telephone | 402-932-8709
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Fax | 402-932-8711
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Provider Business Mailing Address
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Address Line | PO BOX 241148
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City | OMAHA
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State | NE
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Zip | 68124-5148
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Country | US
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Telephone | 402-932-8709
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Fax | 402-932-8711
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE GOLDBERG
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Credential |
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Telephone | 402-968-4574
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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 | 2935
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License Number State | NE
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