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General NPI Number Information
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NPI Number | 1952070104
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Entity Type | Organization
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Legal Business Name | CNS RX DELIVERY LLC
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 895 ROBERTA LN STE 103
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City | SPARKS
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State | NV
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Zip | 89431-1898
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Country | US
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Telephone | 775-622-4304
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Fax | 775-622-4057
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Provider Business Mailing Address
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Address Line | 895 ROBERTA LN STE 103
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City | SPARKS
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State | NV
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Zip | 89431-1898
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Country | US
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Telephone | 775-622-4304
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Fax | 775-622-4057
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JANELLE GRACE LAZO
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Credential |
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Telephone | 775-622-4304
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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