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General NPI Number Information
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NPI Number | 1679541585
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Entity Type | Organization
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Legal Business Name | FAMILY PRESCRIPTION SHOP INC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 7111 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67206-1090
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Country | US
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Telephone | 316-684-7899
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Fax | 316-684-8221
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Provider Business Mailing Address
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Address Line | 7111 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67206-1090
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Country | US
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Telephone | 316-684-7899
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Fax | 316-684-8221
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JASON SCHMITZ
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Credential |
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Telephone | 316-684-7899
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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 |
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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 | 2-13037
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License Number State | KS
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