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General NPI Number Information
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NPI Number | 1992874630
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Entity Type | Organization
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Legal Business Name | MASCHINO DRUG COMPANY INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 1012 MAIN
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City | PLEASANTON
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State | KS
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Zip | 66075-0500
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Country | US
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Telephone | 913-352-8733
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Fax | 913-352-8120
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Provider Business Mailing Address
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Address Line | PO BOX 500
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City | PLEASANTON
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State | KS
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Zip | 66075-0500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOUG MASCHINO
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Credential |
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Telephone | 913-352-8733
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 209930
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License Number State | KS
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