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General NPI Number Information
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NPI Number | 1912154055
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Entity Type | Organization
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Legal Business Name | HENRY PHARMACIES INC
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 04/10/2009
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Provider Practice Location Address
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Address Line | 1442 N 8TH ST
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City | VANDALIA
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State | IL
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Zip | 62471-1027
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Country | US
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Telephone | 618-283-2500
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Fax | 618-283-2572
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Provider Business Mailing Address
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Address Line | 1442 N 8TH ST
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City | VANDALIA
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State | IL
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Zip | 62471-1027
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Country | US
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Telephone | 618-283-2500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSH HENRY
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Credential |
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Telephone | 618-283-2500
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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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