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General NPI Number Information
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NPI Number | 1881708857
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Entity Type | Organization
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Legal Business Name | BEST BUY PHARMACY OF SHELBINA INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 201 N CENTER ST
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City | SHELBINA
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State | MO
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Zip | 63468-1117
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Country | US
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Telephone | 573-588-2143
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Fax | 573-588-7545
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Provider Business Mailing Address
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Address Line | 201 N CENTER ST
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City | SHELBINA
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State | MO
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Zip | 63468-1117
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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 | MGR
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Name | GENA HATCHER
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Credential |
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Telephone | 573-588-2143
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 006633
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License Number State | MO
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