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NPI 1699846980

NPI 1699846980 : MCCORMICKS PHARMACY : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1699846980
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCCORMICKS PHARMACY 
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Dates
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    Enumeration Date     |    11/10/2006
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    Last Update Date     |    03/03/2008
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Provider Practice Location Address
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    Address Line         |    6301 ROCKHILL RD SUITE 104
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64131-1117
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    Country              |    US
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    Telephone            |    816-756-1733
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    Fax                  |    816-931-1540
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Provider Business Mailing Address
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    Address Line         |    6301 ROCKHILL RD SUITE 104
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64131-1117
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    Country              |    US
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    Telephone            |    816-756-1733
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    Fax                  |    816-931-1540
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |     JULIE  KENT 
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    Credential           |    
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    Telephone            |    816-756-1733
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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       |    5425
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    License Number State |    MO
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