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General NPI Number Information
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NPI Number | 1891889200
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Entity Type | Organization
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Legal Business Name | 3C HEALTHCARE, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 722 WHEAT RD
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City | WINFIELD
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State | KS
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Zip | 67156-3216
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Country | US
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Telephone | 620-221-7850
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Fax | 620-221-3296
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Provider Business Mailing Address
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Address Line | 722 WHEAT RD
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City | WINFIELD
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State | KS
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Zip | 67156-3216
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Country | US
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Telephone | 620-221-7850
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Fax | 620-221-3296
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | VAN G. COBLE
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Credential | DPH
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Telephone | 620-221-7850
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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 | 2-09999
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License Number State | KS
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