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General NPI Number Information
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NPI Number | 1063704179
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Entity Type | Organization
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Legal Business Name | RITEAID
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Dates
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Enumeration Date | 05/08/2011
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Last Update Date | 05/08/2011
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Provider Practice Location Address
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Address Line | 320 HIGHWAY 52 BYP W
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City | LAFAYETTE
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State | TN
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Zip | 37083-1739
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Country | US
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Telephone | 615-666-3613
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Fax | 615-666-2684
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Provider Business Mailing Address
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Address Line | 320 HIGHWAY 52 BYP W
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City | LAFAYETTE
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State | TN
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Zip | 37083-1739
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Country | US
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Telephone | 615-666-3613
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Fax | 615-666-2684
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Authorized Official
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Title or Position | CLINICAL SERVICES ADMINISTRATOR
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Name | HOPE PIGNOTTI
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Credential |
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Telephone | 770-422-2378
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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 | 179
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License Number State | TN
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