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NPI 1073170718

NPI 1073170718 : A PHARMACY LLC : CHATTANOOGA, TN

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General NPI Number Information
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    NPI Number           |    1073170718
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    Entity Type          |    Organization 
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    Legal Business Name  |    A PHARMACY LLC 
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Dates
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    Enumeration Date     |    05/28/2019
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    Last Update Date     |    12/31/2019
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Provider Practice Location Address
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    Address Line         |    4767 HWY 58, SUITE 101 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37416
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    Country              |    US
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    Telephone            |    423-227-7737
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4897 HAMPSHIRE PLACE 
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    City                 |    HIXSON
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    State                |    TN
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    Zip                  |    37343
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    Country              |    US
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    Telephone            |    423-227-7737
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHARMACIST IN CHARGE (SOLE MEMBER A
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    Name                 |     NADER  RAHBE 
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    Credential           |    PHARM. D.
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    Telephone            |    423-227-7737
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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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