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General NPI Number Information
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NPI Number | 1790142255
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Entity Type | Organization
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Legal Business Name | CAMBY LOW COST PHARMACY
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 8411 WINDFALL LN STE 90
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City | CAMBY
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State | IN
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Zip | 46113-8027
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Country | US
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Telephone | 317-548-8015
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Fax | 317-830-8365
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Provider Business Mailing Address
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Address Line | 8411 WINDFALL LN STE 90
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City | CAMBY
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State | IN
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Zip | 46113-8027
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Country | US
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Telephone | 317-548-8015
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Fax | 317-830-8365
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Authorized Official
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Title or Position | OWNER/PHARMACIST IN CHARGE
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Name | AKRAM ABUMAHFOUZ
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Credential |
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Telephone | 317-548-8015
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 60006559A
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License Number State | IN
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