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General NPI Number Information
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NPI Number | 1710367990
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Entity Type | Organization
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Legal Business Name | RONS APOTHECARY INC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 615 W WILLOUGHBY AVE
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City | JUNEAU
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State | AK
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Zip | 99801-1731
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Country | US
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Telephone | 907-796-2280
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Fax | 907-586-2235
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Provider Business Mailing Address
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Address Line | PO BOX 32007
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City | JUNEAU
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State | AK
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Zip | 99803-2007
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Country | US
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Telephone | 907-796-2280
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Fax | 907-586-2235
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | SCOTT WATTS
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Credential | R.PH.
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Telephone | 907-796-2280
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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 | 506
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License Number State | AK
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