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General NPI Number Information
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NPI Number | 1033815683
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Entity Type | Organization
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Legal Business Name | PENNYRILE PRECISION RX CONSULTING, PLLC
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 2616 TITLEIST RD
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City | LOUISVILLE
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State | KY
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Zip | 40242-6900
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Country | US
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Telephone | 502-215-0136
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Fax | 346-762-2076
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Provider Business Mailing Address
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Address Line | 9462 BROWNSBORO RD # 358
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City | LOUISVILLE
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State | KY
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Zip | 40241-1118
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Country | US
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Telephone | 502-215-0136
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Fax | 346-762-2076
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Authorized Official
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Title or Position | OWNER
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Name | DR. COREY BENTLEY BROWN
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Credential | PHARMD
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Telephone | 502-265-8904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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