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General NPI Number Information
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NPI Number | 1780625640
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Entity Type | Organization
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Legal Business Name | FELKER PHARMACY INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 301 N GALENA AVE
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City | DIXON
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State | IL
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Zip | 61021-2113
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Country | US
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Telephone | 815-284-8000
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Fax | 815-284-8005
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Provider Business Mailing Address
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Address Line | 301 N GALENA AVE
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City | DIXON
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State | IL
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Zip | 61021-2113
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Country | US
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Telephone | 815-284-8000
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Fax | 815-284-8005
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS FELKER
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Credential |
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Telephone | 815-234-5466
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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 | 54015538
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License Number State | IL
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