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General NPI Number Information
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NPI Number | 1730298878
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Entity Type | Organization
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Legal Business Name | SUNSET PLAZA DRUG CORPORATION
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 901 E CRAWFORD ST
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City | SALINA
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State | KS
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Zip | 67401-5100
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Country | US
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Telephone | 785-827-0408
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Fax | 785-827-8371
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Provider Business Mailing Address
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Address Line | 901 E CRAWFORD ST
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City | SALINA
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State | KS
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Zip | 67401-5100
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Country | US
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Telephone | 785-827-0408
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Fax | 785-827-8371
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CORI DURALL
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Credential | PHARMD
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Telephone | 785-827-0408
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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 | 2-10090
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License Number State | KS
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