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General NPI Number Information
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NPI Number | 1902900962
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Entity Type | Organization
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Legal Business Name | WINCHESTER COMMUNITY PHARMACY
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 409 E GREENVILLE AVE SUITE 300
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City | WINCHESTER
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State | IN
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Zip | 47394-9436
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Country | US
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Telephone | 765-584-5410
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Fax | 765-584-5436
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Provider Business Mailing Address
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Address Line | 409 E GREENVILLE AVE SUITE 300
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City | WINCHESTER
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State | IN
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Zip | 47394-9436
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Country | US
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Telephone | 765-584-5410
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Fax |
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Authorized Official
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Title or Position | DIRECTOR CHS COMM PHRMCY NTWRK
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Name | MAX BARNHART
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Credential |
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Telephone | 765-751-5316
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 60005902A
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License Number State | IN
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