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NPI 1679502645

NPI 1679502645 : FLOWER PHARMACY PROF ASSOC : LACONIA, NH

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General NPI Number Information
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    NPI Number           |    1679502645
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLOWER PHARMACY PROF ASSOC 
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Dates
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    Enumeration Date     |    07/02/2006
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    Last Update Date     |    03/17/2008
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Provider Practice Location Address
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    Address Line         |    87 SPRING ST 
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    City                 |    LACONIA
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    State                |    NH
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    Zip                  |    03246-3156
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    Country              |    US
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    Telephone            |    603-524-4500
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    Fax                  |    603-528-9476
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Provider Business Mailing Address
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    Address Line         |    87 SPRING ST 
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    City                 |    LACONIA
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    State                |    NH
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    Zip                  |    03246-3156
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    Country              |    US
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    Telephone            |    603-524-4500
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    Fax                  |    603-528-9476
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BRUCE  RANKINS 
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    Credential           |    
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    Telephone            |    603-524-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    39
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    License Number State |    NH
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