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General NPI Number Information
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NPI Number | 1992898332
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Entity Type | Organization
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Legal Business Name | PRESCRIPTIONS PLUS PHARMACY OF TROY INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 523 TROY PLZ
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City | TROY
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State | IL
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Zip | 62294-1349
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Country | US
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Telephone | 618-667-2051
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Fax | 618-667-0065
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Provider Business Mailing Address
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Address Line | 523 TROY PLZ
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City | TROY
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State | IL
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Zip | 62294-1349
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Country | US
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Telephone | 618-667-2051
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Fax | 618-667-0065
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Authorized Official
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Title or Position | OWNER
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Name | COLETTE HUELSMANN
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Credential |
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Telephone | 618-667-2051
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054.013178
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License Number State | IL
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