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General NPI Number Information
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NPI Number | 1801911078
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Entity Type | Organization
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Legal Business Name | HARMONS PHARMACY
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1099 JASON PL
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City | CHATHAM
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State | IL
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Zip | 62629-2018
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Country | US
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Telephone | 217-483-9131
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Fax | 217-483-9190
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Provider Business Mailing Address
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Address Line | 1099 JASON PL
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City | CHATHAM
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State | IL
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Zip | 62629-2018
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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 | SCOTT HARMON
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Credential | RPH
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Telephone | 217-965-3515
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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 | 054014742
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License Number State | IL
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