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General NPI Number Information
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NPI Number | 1720165467
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Entity Type | Organization
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Legal Business Name | DANMAR FAMILY PHARMACY INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 47 PUBLIC SQ
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City | SALEM
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State | IN
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Zip | 47167-2025
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Country | US
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Telephone | 812-883-2102
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Fax | 812-883-2993
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Provider Business Mailing Address
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Address Line | 47 PUBLIC SQ
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City | SALEM
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State | IN
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Zip | 47167-2025
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Country | US
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Telephone | 812-883-2102
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Fax | 812-883-2993
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK DANIEL HABERMEL III
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Credential |
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Telephone | 812-883-2102
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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 | 60004288A
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License Number State | IN
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