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General NPI Number Information
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NPI Number | 1790076651
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Entity Type | Organization
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Legal Business Name | APOTHACA, INC.
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 17 COVENTRY SHOPPERS PARK
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City | COVENTRY
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State | RI
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Zip | 02816-5702
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Country | US
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Telephone | 401-481-3001
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Fax | 401-633-6566
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Provider Business Mailing Address
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Address Line | 17 COVENTRY SHOPPERS PARK
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City | COVENTRY
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State | RI
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Zip | 02816-5702
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Country | US
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Telephone | 401-481-3001
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Fax | 401-633-6566
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. DAVID C HUGHES
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Credential | PHARM.D.
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Telephone | 401-481-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PENDING
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License Number State | RI
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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 | PENDING
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License Number State | RI
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