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General NPI Number Information
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NPI Number | 1700930690
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Entity Type | Organization
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Legal Business Name | APOTHECARY EXPRESS LLC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 121 LOUDON RD UNIT ONE
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City | CONCORD
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State | NH
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Zip | 03301-5605
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Country | US
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Telephone | 603-223-6600
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Fax | 603-410-6884
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Provider Business Mailing Address
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Address Line | 121 LOUDON RD UNIT ONE
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City | CONCORD
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State | NH
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Zip | 03301-5605
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Country | US
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Telephone | 603-223-6600
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Fax | 603-410-6884
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Authorized Official
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Title or Position | SINGLE MEMBER LLC OWNER
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Name | MR. THOMAS R WILMOT
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Credential | RPH
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Telephone | 603-223-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0656
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License Number State | NH
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