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General NPI Number Information
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NPI Number | 1841326949
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Entity Type | Organization
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Legal Business Name | CHI ST. VINCENT EMPLOYEE PHARMACY
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | #2 ST. VINCENT CIRCLE
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-552-4880
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Fax | 501-552-4450
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Provider Business Mailing Address
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Address Line | #2 ST. VINCENT CIRCLE
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-552-4880
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Fax | 501-552-4450
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DANNY WOOLEY
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Credential | PHARM D
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Telephone | 501-552-3983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number | HP00273
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License Number State | AR
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