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General NPI Number Information
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NPI Number | 1861590853
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Entity Type | Organization
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Legal Business Name | JAMES PHARMACY - TURTLE LAKE LTD
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 215 MAPLE ST S
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City | TURTLE LAKE
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State | WI
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Zip | 54889-8003
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Country | US
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Telephone | 715-986-2225
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Fax | 715-986-4079
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Provider Business Mailing Address
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Address Line | PO BOX 46
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City | TURTLE LAKE
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State | WI
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Zip | 54889-0046
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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 | ADMIN ASSISTANT
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Name | PAIGE WILES
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Credential |
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Telephone | 715-418-3478
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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 | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 684542
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License Number State | WI
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