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General NPI Number Information
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NPI Number | 1871639690
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Entity Type | Organization
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Legal Business Name | BEALLS PHARMACY INC. PS
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 110 W MEEKER
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City | PUYALLUP
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State | WA
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Zip | 98371-5384
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Country | US
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Telephone | 253-845-8444
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Fax | 253-845-7114
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Provider Business Mailing Address
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Address Line | 110 W MEEKER
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City | PUYALLUP
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State | WA
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Zip | 98371-5384
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Country | US
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Telephone | 253-845-8444
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Fax | 253-845-7114
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM MARK NORRIS
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Credential | R.PH.
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Telephone | 253-845-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | CF00004142
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License Number State | WA
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