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General NPI Number Information
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NPI Number | 1962639765
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Entity Type | Organization
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Legal Business Name | CAROL STREAM PHARMACY P.C
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 620 E SAINT CHARLES RD UNIT B
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City | CAROL STREAM
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State | IL
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Zip | 60188-2692
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Country | US
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Telephone | 630-868-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 620 E SAINT CHARLES RD UNIT B
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City | CAROL STREAM
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State | IL
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Zip | 60188-2692
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Country | US
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Telephone | 630-868-3722
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BINH C NGUYEN
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Credential | PHARM. D
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Telephone | 816-824-2024
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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 |
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