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General NPI Number Information
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NPI Number | 1972784841
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Entity Type | Organization
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Legal Business Name | COMPLETE PHARMACY AND MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 5829 NW 158TH ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6721
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Country | US
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Telephone | 305-397-2035
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Fax | 866-454-5866
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Provider Business Mailing Address
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Address Line | 117 W MULBERRY ST
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City | CHATHAM
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State | IL
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Zip | 62629-1328
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Country | US
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Telephone | 217-697-5533
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Fax | 800-830-1813
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBBIE DRENNAN
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Credential |
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Telephone | 217-697-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH28339
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License Number State | FL
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