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General NPI Number Information
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NPI Number | 1811364078
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Entity Type | Organization
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Legal Business Name | PEOPLES PHARMACY
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 5505 W. PARMER LANE, BUILDING 4 AT APPLE WELLNESS CENTER
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City | AUSTIN
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State | TX
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Zip | 78727
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Country | US
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Telephone | 512-215-3296
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Fax | 512-910-2826
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Provider Business Mailing Address
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Address Line | 12545 RIATA VISTA CIRCLE, MS:578-AWC AT APPLE WELLNESS CENTER
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City | AUSTIN
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State | TX
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Zip | 78727
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Country | US
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Telephone | 512-215-3296
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Fax | 512-910-2826
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Authorized Official
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Title or Position | A/R MANAGER
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Name | DONNA NICOLOFF
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Credential |
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Telephone | 512-447-1799
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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 | 30256
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License Number State | TX
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