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General NPI Number Information
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NPI Number | 1740233311
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Entity Type | Organization
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Legal Business Name | RX SHOPS INC.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 223 E 7TH ST
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City | LEBANON
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State | MO
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Zip | 65536-2706
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Country | US
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Telephone | 417-532-9110
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Fax | 417-532-9156
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Provider Business Mailing Address
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Address Line | PO BOX 1068
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City | LEBANON
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State | MO
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Zip | 65536-1068
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Country | US
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Telephone | 417-532-9110
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Fax | 417-532-9156
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GINGER MILLER
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Credential |
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Telephone | 417-532-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 004859
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License Number State | MO
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