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General NPI Number Information
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NPI Number | 1902964422
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Entity Type | Organization
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Legal Business Name | GALEN PHARMACY INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3926 W TOUHY AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-1028
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Country | US
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Telephone | 847-675-7170
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Fax | 847-675-5106
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Provider Business Mailing Address
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Address Line | 3926 W TOUHY AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-1028
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Country | US
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Telephone | 847-675-7170
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Fax | 847-675-5106
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL R WAX
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Credential |
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Telephone | 847-675-7170
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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 | IL
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