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General NPI Number Information
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NPI Number | 1962730150
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Entity Type | Organization
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Legal Business Name | CHESTERFIELD PHARMACY
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Dates
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Enumeration Date | 11/27/2009
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Last Update Date | 11/27/2009
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Provider Practice Location Address
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Address Line | 703 COLUMBIA ST
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City | SEATTLE
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State | WA
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Zip | 98104-1965
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Country | US
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Telephone | 206-838-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 703 COLUMBIA ST
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City | SEATTLE
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State | WA
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Zip | 98104-1965
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Country | US
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Telephone | 206-838-6050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | STELLA OGIALE
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Credential |
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Telephone | 206-838-6050
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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 | NO PHAR.CF.00057419
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | NO PHAR.CF.00057419
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License Number State | WA
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