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General NPI Number Information
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NPI Number | 1801324827
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Entity Type | Organization
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Legal Business Name | MEDCOUNSEL PHARMACY CORP.
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Dates
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Enumeration Date | 06/03/2017
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Last Update Date | 06/03/2017
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Provider Practice Location Address
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Address Line | 4326 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-1712
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Country | US
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Telephone | 773-267-1992
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Fax | 708-405-0038
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Provider Business Mailing Address
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Address Line | 4326 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60618-1712
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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 | PRESIDENT
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Name | ZAIN RAZVI
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Credential | PHARMD
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Telephone | 773-308-5275
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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 | IL
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