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General NPI Number Information
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NPI Number | 1952738643
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Entity Type | Organization
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Legal Business Name | INDEPENDENT PHARMACY SOLUTIONS
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 6100 N SMOKERISE DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-2772
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Country | US
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Telephone | 928-814-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 N SMOKERISE DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-2772
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Country | US
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Telephone | 928-814-2355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES GREENAN
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Credential |
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Telephone | 928-814-2355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S10529
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License Number State | AZ
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