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General NPI Number Information
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NPI Number | 1750747622
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTH PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 770 WALNUT ST STE 100
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City | MACON
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State | GA
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Zip | 31201-7307
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Country | US
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Telephone | 478-741-5098
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Fax | 478-742-7795
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Provider Business Mailing Address
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Address Line | 770 WALNUT ST STE 100
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City | MACON
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State | GA
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Zip | 31201-7307
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Country | US
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Telephone | 478-741-5098
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Fax | 478-742-7795
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL BROWN
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Credential |
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Telephone | 281-749-4764
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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 | PHRE010254
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License Number State | GA
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