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General NPI Number Information
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NPI Number | 1073526158
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Entity Type | Organization
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Legal Business Name | SCIENCE HILL DRUG, LLC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 5775 N HIGHWAY 27
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City | SCIENCE HILL
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State | KY
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Zip | 42553-9140
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Country | US
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Telephone | 606-423-9959
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Fax |
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Provider Business Mailing Address
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Address Line | 5775 N HIGHWAY 27
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City | SCIENCE HILL
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State | KY
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Zip | 42553-9140
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Country | US
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Telephone | 606-423-9959
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY CARNES
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Credential | RPH
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Telephone | 270-566-1074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P06496
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P06496
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License Number State | KY
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