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NPI 1992450878

NPI 1992450878 : STORMONT-VAIL PHARMACY, LLC : TOPEKA, KS

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General NPI Number Information
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    NPI Number           |    1992450878
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    Entity Type          |    Organization 
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    Legal Business Name  |    STORMONT-VAIL PHARMACY, LLC 
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Dates
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    Enumeration Date     |    02/18/2022
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    Last Update Date     |    10/24/2025
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Provider Practice Location Address
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    Address Line         |    830 SW LANE ST STE B 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66606-2488
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    Country              |    US
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    Telephone            |    785-235-8796
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    Fax                  |    785-235-1939
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Provider Business Mailing Address
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    Address Line         |    830 SW LANE ST STE B 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66606-2488
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    Country              |    US
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    Telephone            |    785-235-8796
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    Fax                  |    785-235-1939
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     JOSEPH WINSTON ROGERS 
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    Credential           |    
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    Telephone            |    785-270-8690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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