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General NPI Number Information
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NPI Number | 1780632059
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Entity Type | Organization
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Legal Business Name | WERNER DRUG CO. INC.
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 1134 WASHINGTON ST
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City | TELL CITY
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State | IN
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Zip | 47586-1827
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Country | US
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Telephone | 812-547-5586
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Fax | 812-547-4368
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Provider Business Mailing Address
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Address Line | 1134 WASHINGTON ST
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City | TELL CITY
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State | IN
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Zip | 47586-1827
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Country | US
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Telephone | 812-547-5586
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Fax | 812-547-4368
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRAD N HARTH
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Credential | R.PH.
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Telephone | 812-547-5586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 100150400A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 100150400A
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License Number State | IN
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