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General NPI Number Information
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NPI Number | 1992828172
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Entity Type | Organization
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Legal Business Name | PEOPLES PHARMACY
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 13860 N HIGHWAY 183 SUITE C
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City | AUSTIN
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State | TX
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Zip | 78750-1203
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Country | US
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Telephone | 512-219-9499
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Fax | 512-250-3477
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Provider Business Mailing Address
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Address Line | 13860 N HIGHWAY 183 SUITE C
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City | AUSTIN
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State | TX
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Zip | 78750-1203
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Country | US
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Telephone | 512-219-9499
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Fax | 512-250-3477
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE
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Name | DONNA NICOLOFF
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Credential |
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Telephone | 512-447-1799
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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 | 17455
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License Number State | TX
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