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General NPI Number Information
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NPI Number | 1073139531
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Entity Type | Organization
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Legal Business Name | EXPRESS CARE PHARMACY AND MORE
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Dates
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Enumeration Date | 06/21/2020
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Last Update Date | 06/19/2021
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Provider Practice Location Address
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Address Line | 1021 N LIMESTONE STE 121
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City | LEXINGTON
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State | KY
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Zip | 40505-3583
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Country | US
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Telephone | 859-440-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 8010 LAKE BONITA RD
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City | CATLETTSBURG
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State | KY
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Zip | 41129-9717
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Country | US
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Telephone | 502-209-9351
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Fax | 502-780-5896
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Authorized Official
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Title or Position | OWNER
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Name | JACOB DOTSON
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Credential |
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Telephone | 606-255-3154
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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 |
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License Number State |
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