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General NPI Number Information
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NPI Number | 1760888556
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Entity Type | Organization
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Legal Business Name | KOHLLS PHARMACY & HOMECARE INC
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 800 N 27TH ST
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City | LINCOLN
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State | NE
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Zip | 68503-2523
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Country | US
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Telephone | 402-476-3341
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Fax | 402-476-3586
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Provider Business Mailing Address
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Address Line | 12759 Q ST
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City | OMAHA
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State | NE
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Zip | 68137-3211
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Country | US
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Telephone | 402-895-6812
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Fax | 402-895-7655
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID GEOFFREY KOHLL
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Credential | PHARM D
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Telephone | 402-895-6812
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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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