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General NPI Number Information
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NPI Number | 1033051297
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Entity Type | Organization
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Legal Business Name | PHARMACIST ON CALL LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1107 BRADYVILLE PIKE
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City | MURFREESBORO
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State | TN
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Zip | 37130-5634
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Country | US
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Telephone | 615-562-6337
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Fax | 615-369-8759
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Provider Business Mailing Address
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Address Line | 1107 BRADYVILLE PIKE
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City | MURFREESBORO
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State | TN
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Zip | 37130-5634
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Country | US
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Telephone | 615-562-6337
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Fax | 615-369-8759
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Authorized Official
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Title or Position | CEO
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Name | DR. SHAWN D PRUITT SR.
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Credential | PHARM.D.
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Telephone | 615-562-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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