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General NPI Number Information
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NPI Number | 1811225352
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Entity Type | Organization
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Legal Business Name | VSR HEALTHCARE, INCORPORATED
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 305 S EUCLID AVE STE 111
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City | TUCSON
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State | AZ
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Zip | 85719-6649
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Country | US
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Telephone | 520-461-1125
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Fax | 520-461-1126
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Provider Business Mailing Address
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Address Line | 305 S EUCLID AVE STE 111
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City | TUCSON
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State | AZ
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Zip | 85719-6649
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Country | US
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Telephone | 520-461-1125
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Fax | 520-461-1126
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Authorized Official
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Title or Position | OWNER - PHARMACIST IN CHARGE
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Name | DEBORAH VAN SANT
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Credential | BSP
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Telephone | 520-461-1125
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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 | 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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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y005223
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License Number State | AZ
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