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General NPI Number Information
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NPI Number | 1942314570
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Entity Type | Organization
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Legal Business Name | PHARMACEUTICAL SERVICES INC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | W209 N17321 INDUSTRIAL DR
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City | JACKSON
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State | WI
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Zip | 53037-9389
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Country | US
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Telephone | 262-677-1401
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Fax | 262-677-9112
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Provider Business Mailing Address
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Address Line | W209N17321 INDUSTRIAL DR
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City | JACKSON
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State | WI
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Zip | 53037-9389
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Country | US
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Telephone | 262-677-1401
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Fax | 262-677-9112
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN F NIEBAUER
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Credential | RPH
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Telephone | 262-677-1401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 8482042
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License Number State | WI
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