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General NPI Number Information
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NPI Number | 1972571784
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Entity Type | Organization
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Legal Business Name | FAMILY PRESCRIPTION SHOP INC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 4183 E HARRY ST
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City | WICHITA
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State | KS
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Zip | 67218-3725
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Country | US
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Telephone | 316-689-6100
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Fax | 316-689-6162
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Provider Business Mailing Address
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Address Line | 4183 E HARRY ST
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City | WICHITA
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State | KS
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Zip | 67218-3725
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Country | US
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Telephone | 316-689-6100
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Fax | 316-689-6162
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JASON SCHMITZ
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Credential | PHARMD
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Telephone | 316-250-8609
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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 | 2-13035
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License Number State | KS
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