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General NPI Number Information
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NPI Number | 1932251402
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Entity Type | Organization
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Legal Business Name | PHARMACEUTICAL CARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 5702 NEWPORT DR SUITE 200
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City | EDINA
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State | MN
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Zip | 55436-1726
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Country | US
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Telephone | 612-384-3784
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5003
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City | HOPKINS
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State | MN
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Zip | 55343-1003
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Country | US
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Telephone | 612-384-3784
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BARRY M KRELITZ
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Credential | RPH.
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Telephone | 612-384-3784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 262492-1
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License Number State | MN
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