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General NPI Number Information
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NPI Number | 1811656747
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Entity Type | Organization
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Legal Business Name | ACCUMIX PHARMACY LLC
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 655 W GRAND AVE STE 240
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City | ELMHURST
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State | IL
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Zip | 60126-1063
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Country | US
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Telephone | 630-749-2771
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Fax | 630-749-2772
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Provider Business Mailing Address
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Address Line | 655 W GRAND AVE STE 240
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City | ELMHURST
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State | IL
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Zip | 60126-1063
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Country | US
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Telephone | 630-749-2771
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Fax | 630-749-2772
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. MARCO ONOROTO
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Credential | PHARMD
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Telephone | 630-749-2771
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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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