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General NPI Number Information
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NPI Number | 1780376673
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Entity Type | Organization
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Legal Business Name | SEAGER MEMORIAL CLINIC PHARMACY
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 2775 WALL AVE
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City | OGDEN
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State | UT
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Zip | 84401-3539
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Country | US
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Telephone | 385-492-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 WALL AVE
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City | OGDEN
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State | UT
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Zip | 84401-3539
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Country | US
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Telephone | 385-492-3156
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | DREW BLOXHAM
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Credential | PHARMD
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Telephone | 801-628-6149
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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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