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General NPI Number Information
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NPI Number | 1801937917
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Entity Type | Organization
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Legal Business Name | FOODS, INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 5003 EP TRUE PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2852
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Country | US
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Telephone | 515-224-2111
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Fax | 515-224-9176
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Provider Business Mailing Address
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Address Line | 5003 EP TRUE PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2852
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Country | US
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Telephone | 515-224-2111
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Fax | 515-224-9176
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Authorized Official
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Title or Position | PHARMCY MANAGER
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Name | SARAH MORROW
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Credential |
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Telephone | 515-255-8642
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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 | 983
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License Number State | IA
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