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General NPI Number Information
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NPI Number | 1811630841
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Entity Type | Organization
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Legal Business Name | ACCESS PRIME PHARMCY LLC
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 191 S BROADWAY AVE
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City | BURNS
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State | OR
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Zip | 97720-2204
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Country | US
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Telephone | 541-413-2860
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Fax | 541-413-2960
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Provider Business Mailing Address
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Address Line | PO BOX 812
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City | BURNS
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State | OR
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Zip | 97720-0812
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Country | US
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Telephone | 541-413-2860
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Fax | 541-413-2960
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE & OWNER
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Name | MRS. ELIZABETH KAY FROMMELT
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Credential | RPH
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Telephone | 541-413-2860
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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 |
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License Number State |
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