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General NPI Number Information
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NPI Number | 1730251521
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Entity Type | Organization
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Legal Business Name | MEDICAL ARTS PHARMACY INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 1301 10TH ST
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5804
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Country | US
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Telephone | 575-437-5530
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Fax | 575-434-3237
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Provider Business Mailing Address
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Address Line | 1301 10TH ST
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5804
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Country | US
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Telephone | 505-437-5530
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Fax | 505-434-3237
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Authorized Official
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Title or Position | PHRM
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Name | HAL SIMS
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Credential | RPH
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Telephone | 575-437-5530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH00001556
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License Number State | NM
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