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General NPI Number Information
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NPI Number | 1962859033
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Entity Type | Organization
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Legal Business Name | SIENAS PHARMACY LLC
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 1664 S DIXIE DR STE L106
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City | SAINT GEORGE
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State | UT
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Zip | 84770-7331
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Country | US
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Telephone | 435-673-6777
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Fax | 435-673-6772
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Provider Business Mailing Address
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Address Line | 1664 S DIXIE DR STE L106
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City | SAINT GEORGE
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State | UT
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Zip | 84770-7331
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Country | US
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Telephone | 435-673-6777
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Fax | 435-673-6772
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Authorized Official
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Title or Position | PIC/OWNER/AO
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Name | STEVE KIRKLAND
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Credential | RPH
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Telephone | 801-865-6395
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 9763996-1703
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License Number State | UT
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