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NPI 1053649954

NPI 1053649954 : M&M MEDS INC : JEFFERSONTOWN, KY

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General NPI Number Information
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    NPI Number           |    1053649954
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    Entity Type          |    Organization 
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    Legal Business Name  |    M&M MEDS INC 
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Dates
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    Enumeration Date     |    12/03/2009
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    10101 TAYLORSVILLE RD 
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    City                 |    JEFFERSONTOWN
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    State                |    KY
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    Zip                  |    40299-3662
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    Country              |    US
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    Telephone            |    502-267-7453
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    Fax                  |    502-267-7455
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Provider Business Mailing Address
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    Address Line         |    10101 TAYLORSVILLE RD STE 102 
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    City                 |    JEFFERSONTOWN
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    State                |    KY
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    Zip                  |    40299-3663
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    Country              |    US
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    Telephone            |    502-267-7453
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    Fax                  |    502-267-7455
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Authorized Official
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    Title or Position    |    OWNER/PHARM.D.
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    Name                 |     MATTHEW ROBERT ANDREWS 
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    Credential           |    PHARM. D.
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    Telephone            |    502-267-7453
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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       |    P07373
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    License Number State |    KY
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