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General NPI Number Information
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NPI Number | 1912926981
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Entity Type | Organization
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Legal Business Name | INNOVATIVE PHARMACEUTICAL SERVICES INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 7506 RAYTOWN RD
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City | RAYTOWN
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State | MO
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Zip | 64138-0598
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Country | US
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Telephone | 816-356-0300
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Fax | 816-356-8926
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Provider Business Mailing Address
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Address Line | 7506 RAYTOWN RD
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City | RAYTOWN
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State | MO
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Zip | 64138-0598
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Country | US
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Telephone | 816-356-0300
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Fax | 816-356-8926
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Authorized Official
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Title or Position | PHARMACIST MANAGER
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Name | MR. CHARLES TERRY FINK
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Credential | RPH
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Telephone | 816-356-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5070
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License Number State | MO
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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 | 5070
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License Number State | MO
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