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General NPI Number Information
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NPI Number | 1790594406
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Entity Type | Organization
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Legal Business Name | HEALTHFIRST PHARMACY LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 801 BROADWAY
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City | MARYSVILLE
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State | KS
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Zip | 66508-1802
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Country | US
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Telephone | 785-562-3196
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 310
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City | MARYSVILLE
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State | KS
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Zip | 66508-0310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEIDI KOHAKE
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Credential |
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Telephone | 402-852-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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