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General NPI Number Information
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NPI Number | 1992781314
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Entity Type | Organization
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Legal Business Name | DISBRO DRUGS INC
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Dates
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Enumeration Date | 12/17/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 116 S INDIANA AVE
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City | SELLERSBURG
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State | IN
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Zip | 47172-1532
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Country | US
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Telephone | 812-246-3421
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Fax | 812-246-3481
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Provider Business Mailing Address
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Address Line | 2307 CYPRESS PT
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-6775
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Country | US
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Telephone | 812-282-6275
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. STEPHEN M DISBRO
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Credential | RPH
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Telephone | 812-246-3421
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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 | 60003038A
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License Number State | IN
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