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NPI 1669753166

NPI 1669753166 : MEIERS PHARMACY LLC : HOLLADAY, UT

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General NPI Number Information
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    NPI Number           |    1669753166
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEIERS PHARMACY LLC 
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Dates
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    Enumeration Date     |    08/30/2011
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    Last Update Date     |    02/20/2017
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Provider Practice Location Address
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    Address Line         |    4698 S HOLLADAY BLVD 
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    City                 |    HOLLADAY
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    State                |    UT
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    Zip                  |    84117-5243
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    Country              |    US
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    Telephone            |    801-679-3278
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    Fax                  |    801-679-3279
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Provider Business Mailing Address
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    Address Line         |    4698 S HOLLADAY BLVD 
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    City                 |    HOLLADAY
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    State                |    UT
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    Zip                  |    84117-5243
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    Country              |    US
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    Telephone            |    801-679-3278
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    Fax                  |    801-679-3279
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Authorized Official
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    Title or Position    |    OWNER/PIC
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    Name                 |     DEVIN  MEIER 
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    Credential           |    RPH
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    Telephone            |    801-842-8853
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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       |    7984263-1703
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    License Number State |    UT
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