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General NPI Number Information
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NPI Number | 1053488411
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE APOTHECARY, INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 2565 N WASHINGTON AVE
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City | BROWNSVILLE
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State | TN
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Zip | 38012-1610
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Country | US
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Telephone | 731-772-5238
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Fax | 731-772-4651
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Provider Business Mailing Address
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Address Line | 2565 N WASHINGTON AVE
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City | BROWNSVILLE
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State | TN
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Zip | 38012-1610
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Country | US
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Telephone | 731-772-5238
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Fax | 731-772-4651
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CLAUDIA WHITE
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Credential |
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Telephone | 731-772-5238
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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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