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General NPI Number Information
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NPI Number | 1972721926
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Entity Type | Organization
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Legal Business Name | CARTHART PHARMACY
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 747 N LA SALLE DR
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City | CHICAGO
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State | IL
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Zip | 60610-3589
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Country | US
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Telephone | 312-376-1040
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Fax |
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Provider Business Mailing Address
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Address Line | 747 N LASALLE ST
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-376-1040
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Fax |
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Authorized Official
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Title or Position | CLINICAL PHARMACIST
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Name | MR. ABRAHAM CORNELIUS MORGAN
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Credential | RPH
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Telephone | 312-376-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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