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NPI 1699241984

NPI 1699241984 : AUBURN PHARMACY, INC. : CONCORDIA, KS

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General NPI Number Information
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    NPI Number           |    1699241984
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUBURN PHARMACY, INC. 
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Dates
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    Enumeration Date     |    10/15/2018
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    Last Update Date     |    11/18/2021
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Provider Practice Location Address
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    Address Line         |    1526 LINCOLN ST 
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    City                 |    CONCORDIA
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    State                |    KS
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    Zip                  |    66901-4830
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    Country              |    US
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    Telephone            |    785-243-1212
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    Fax                  |    785-243-1213
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Provider Business Mailing Address
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    Address Line         |    PO BOX 388 
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    City                 |    CONCORDIA
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    State                |    KS
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    Zip                  |    66901-0388
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    Country              |    US
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    Telephone            |    785-243-1212
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    Fax                  |    785-243-1213
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Authorized Official
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    Title or Position    |    OWNER/CEO
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    Name                 |     MICHAEL W BURNS 
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    Credential           |    RPH
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    Telephone            |    785-448-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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