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General NPI Number Information
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NPI Number | 1851461636
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Entity Type | Organization
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Legal Business Name | MEMORIAL HEALTH CARE SYSTEMS
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 250 N COLUMBIA AVE
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City | SEWARD
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State | NE
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Zip | 68434-2226
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Country | US
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Telephone | 402-646-4607
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Fax | 402-646-4659
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Provider Business Mailing Address
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Address Line | 250 N COLUMBIA AVE
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City | SEWARD
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State | NE
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Zip | 68434-2226
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Country | US
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Telephone | 402-646-4607
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Fax | 402-646-4659
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | STACIE DYER
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Credential | PHARMD
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Telephone | 402-646-4607
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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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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2083
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License Number State | NE
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