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General NPI Number Information
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NPI Number | 1770606139
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Entity Type | Organization
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Legal Business Name | APOTHECARY SHOPPE PHARMACY
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2500 CHERRY AVE SUITE NUMBER 101
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City | BREMERTON
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State | WA
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Zip | 98310-4202
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Country | US
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Telephone | 360-479-4900
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Fax | 360-373-0869
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Provider Business Mailing Address
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Address Line | 2500 CHERRY AVE SUITE NUMBER 101
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City | BREMERTON
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State | WA
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Zip | 98310-4202
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Country | US
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Telephone | 360-479-4900
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Fax | 360-373-0869
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Authorized Official
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Title or Position | OWNER AND MANAGER
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Name | MR. DENNIS ALEXANDER SMITH
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Credential | B.S. PHARMACY
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Telephone | 360-479-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | CF00002158
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License Number State | WA
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