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General NPI Number Information
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NPI Number | 1851335954
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Entity Type | Organization
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Legal Business Name | HOWARDS REXALL STORES INC
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 180 MAIN ST
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City | FARMINGTON
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State | ME
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Zip | 04938-1921
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Country | US
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Telephone | 207-778-2695
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Fax | 207-778-3933
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Provider Business Mailing Address
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Address Line | 180 MAIN ST
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City | FARMINGTON
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State | ME
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Zip | 04938-1921
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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 | PRESIDENT
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Name | JAMES WITT
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Credential | RPH
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Telephone | 207-778-2695
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH50000225
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License Number State | ME
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