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General NPI Number Information
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NPI Number | 1003628991
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Entity Type | Organization
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Legal Business Name | CLINIC PHARMACY II, LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 127 KY HIGHWAY 32 W
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City | CYNTHIANA
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State | KY
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Zip | 41031-8574
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Country | US
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Telephone | 859-298-2424
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Fax | 859-658-1755
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Provider Business Mailing Address
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Address Line | 1210 KY HIGHWAY 36 E STE G6
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City | CYNTHIANA
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State | KY
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Zip | 41031-7493
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Country | US
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Telephone | 859-234-2777
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Fax | 859-234-2775
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | DR. RONALD STANLEY
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Credential | PHARM.D.
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Telephone | 859-234-2777
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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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