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General NPI Number Information
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NPI Number | 1841599289
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Entity Type | Organization
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Legal Business Name | PET'S CHOICE PHARMACY, LLC
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 814 K ST
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City | BELLEVILLE
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State | KS
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Zip | 66935-1522
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Country | US
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Telephone | 877-347-7387
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Fax | 866-787-1177
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Provider Business Mailing Address
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Address Line | 814 K ST
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City | BELLEVILLE
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State | KS
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Zip | 66935-1522
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DOUGLAS LAMBERT
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Credential |
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Telephone | 402-729-8014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 2-10330
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License Number State | KS
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