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General NPI Number Information
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NPI Number | 1801807300
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Entity Type | Organization
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Legal Business Name | COST LESS PRESCRIPTIONS FIRCREST INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 1109 REGENTS BLVD
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City | FIRCREST
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State | WA
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Zip | 98466-6031
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Country | US
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Telephone | 253-564-5200
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Fax | 253-564-6698
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Provider Business Mailing Address
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Address Line | 1109 REGENTS BLVD
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City | FIRCREST
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State | WA
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Zip | 98466-6031
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Country | US
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Telephone | 253-564-5200
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Fax | 253-564-6698
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Authorized Official
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Title or Position | OWNER
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Name | DALE BISCEGLIA
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Credential |
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Telephone | 253-564-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | CF00004886
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License Number State | WA
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