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General NPI Number Information
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NPI Number | 1669861696
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Entity Type | Organization
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Legal Business Name | A-S MEDICATION SOLUTIONS LLC
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 333 S ASHLAND AVE SUITE 402
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City | CHICAGO
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State | IL
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Zip | 60607-2703
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Country | US
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Telephone | 312-738-4160
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Fax | 312-738-6198
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | FREMONT
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State | NE
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Zip | 68026-0008
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Country | US
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Telephone | 402-753-2800
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Fax | 866-441-1680
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | JACK BARTA
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Credential |
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Telephone | 402-753-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 054-018900
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License Number State | IL
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