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General NPI Number Information
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NPI Number | 1740249929
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Entity Type | Organization
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Legal Business Name | LAMOURE DRUG STORE, INC.
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 100 1ST AVE SW
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City | LAMOURE
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State | ND
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Zip | 58458-7415
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Country | US
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Telephone | 701-883-5339
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Fax | 701-883-5531
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Provider Business Mailing Address
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Address Line | PO BOX 175
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City | LAMOURE
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State | ND
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Zip | 58458-0175
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Country | US
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Telephone | 701-883-5339
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Fax | 701-883-5531
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA R LAUF
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Credential | RPH
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Telephone | 701-883-5339
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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 | PHAR150
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHAR150
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHAR150
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR150
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License Number State | ND
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