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General NPI Number Information
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NPI Number | 1659918894
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Entity Type | Organization
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Legal Business Name | BEATTIES COMMUNITY PHARMACY LLC
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 3140 VILLAGE VISTA DR UNIT 100
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City | ERIE
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State | CO
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Zip | 80516-2529
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Country | US
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Telephone | 720-890-5095
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Fax | 720-890-4343
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Provider Business Mailing Address
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Address Line | 3140 VILLAGE VISTA DR UNIT 100
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City | ERIE
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State | CO
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Zip | 80516-2529
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Country | US
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Telephone | 720-890-5095
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Fax | 720-890-4343
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Authorized Official
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Title or Position | MANAGER
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Name | LAURIE BEATTIE
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Credential |
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Telephone | 720-890-5095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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