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General NPI Number Information
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NPI Number | 1689779308
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Entity Type | Organization
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Legal Business Name | MCFALL'S PHARMACY
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 16 PLEASANT ST
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City | MECHANIC FALLS
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State | ME
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Zip | 04256
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Country | US
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Telephone | 207-345-9188
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Fax |
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Provider Business Mailing Address
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Address Line | 16 PLEASANT ST
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City | MECHANIC FALLS
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State | ME
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Zip | 04256
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Country | US
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Telephone | 207-345-9188
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES PRIMOZICH
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Credential |
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Telephone | 207-348-9188
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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 | PH50000985
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License Number State | ME
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