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General NPI Number Information
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NPI Number | 1902962277
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Entity Type | Organization
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Legal Business Name | HAMILTON PHARMACY INCORPORATED
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 135 W MAIN ST
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City | HAMILTON
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State | MT
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Zip | 59840-2555
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Country | US
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Telephone | 406-363-2300
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Fax | 406-363-2302
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Provider Business Mailing Address
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Address Line | 135 W MAIN ST
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City | HAMILTON
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State | MT
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Zip | 59840-2555
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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 | OWNER
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Name | JEANE BRUTON
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Credential |
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Telephone | 406-363-2301
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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 | PHA-PHR-LIC-595
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License Number State | MT
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