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General NPI Number Information
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NPI Number | 1952774929
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Entity Type | Organization
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Legal Business Name | MONARCH PHARMACY
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 11 S ORANGE ST
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City | BUTLER
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State | MO
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Zip | 64730-1805
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Country | US
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Telephone | 620-856-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 MILTARY AVE
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City | BAXTER SPRINGS
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State | KS
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Zip | 66713-1509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | KELLY BARNES
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Credential | RPH
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Telephone | 620-856-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | MO
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