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General NPI Number Information
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NPI Number | 1700129699
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Entity Type | Organization
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Legal Business Name | VIA CHRISTI PHARMACY
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 929 N SAINT FRANCIS ST OUTPATIENT PHARMACY
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City | WICHITA
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State | KS
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Zip | 67214-3821
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Country | US
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Telephone | 316-613-6511
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Fax | 316-613-6517
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Provider Business Mailing Address
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Address Line | 929 N SAINT FRANCIS ST OUTPATIENT PHARMACY
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City | WICHITA
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State | KS
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Zip | 67214-3821
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Country | US
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Telephone | 316-613-6511
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Fax | 316-613-6517
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF PHARMACY
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Name | JIM GARRELTS
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Credential |
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Telephone | 316-268-5580
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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 | 210439
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License Number State | KS
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