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General NPI Number Information
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NPI Number | 1821600545
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Entity Type | Organization
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Legal Business Name | DEBBIE S PHARMACY LLC
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 815 HAZELWEST DR STE 100
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City | HAZELWOOD
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State | MO
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Zip | 63042-1762
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Country | US
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Telephone | 314-895-3300
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Fax | 314-451-8585
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Provider Business Mailing Address
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Address Line | 102 BARTON CREEK BLVD
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City | WENTZVILLE
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State | MO
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Zip | 63385-3149
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Country | US
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Telephone | 314-482-7897
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. DEBRA LEE ANN MILLIGAN
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Credential | RPH
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Telephone | 314-482-7897
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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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