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General NPI Number Information
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NPI Number | 1831873561
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Entity Type | Organization
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Legal Business Name | HARMON'S DRUG STORE, INC
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 1101 N ALLEN ST STE A
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City | ROBINSON
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State | IL
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Zip | 62454-1168
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Country | US
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Telephone | 618-546-7001
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Fax | 833-702-3551
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Provider Business Mailing Address
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Address Line | PO BOX 159
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City | OBLONG
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State | IL
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Zip | 62449-0159
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Country | US
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Telephone | 618-592-4231
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Fax | 618-592-4250
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | BRAD E HARMON
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Credential | RPH
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Telephone | 618-592-4231
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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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