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General NPI Number Information
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NPI Number | 1942227780
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Entity Type | Organization
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Legal Business Name | LIN-KRIS PHARMACY INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 10666 BUSINESS 21
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City | HILLSBORO
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State | MO
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Zip | 63050-5097
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Country | US
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Telephone | 636-797-3468
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Fax | 636-797-5260
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Provider Business Mailing Address
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Address Line | PO BOX 257
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City | HILLSBORO
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State | MO
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Zip | 63050-0257
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Country | US
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Telephone | 636-797-3468
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Fax | 636-797-5260
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | ROY EBERHART
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Credential | RPH
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Telephone | 636-737-3468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2002005825
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License Number State | MO
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