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General NPI Number Information
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NPI Number | 1922398791
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Entity Type | Organization
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Legal Business Name | ALLCARE DISCOUNT PHARMACY INC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 2750 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60647-5247
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Country | US
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Telephone | 312-432-4510
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Fax | 773-278-1836
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Provider Business Mailing Address
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Address Line | 2750 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60647-5247
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Country | US
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Telephone | 312-432-4510
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | HIREN ZALA
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Credential |
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Telephone | 312-432-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order 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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054.017654
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License Number State | IL
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