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General NPI Number Information
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NPI Number | 1740261643
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Entity Type | Organization
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Legal Business Name | CAREMARK, L.L.C.
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 500 BUSINESS CENTER DR
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City | PITTSBURGH
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State | PA
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Zip | 15205-1333
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Country | US
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Telephone | 888-285-4287
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Fax | 412-490-0645
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Provider Business Mailing Address
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Address Line | PO BOX 840688
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City | DALLAS
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State | TX
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Zip | 75284-0688
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Country | US
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Telephone | 800-225-5967
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Fax | 909-799-4364
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DAVID W GOLDING
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Credential |
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Telephone | 800-225-5967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PP415279L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP415279L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PP415279L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PP415279L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PP415279L
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License Number State | PA
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