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General NPI Number Information
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NPI Number | 1073806154
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Entity Type | Organization
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Legal Business Name | XPRESS PHARMACY OF CLAY COUNTY
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 651 S. BROWN ST.
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City | CELINA
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State | TN
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Zip | 38551
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Country | US
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Telephone | 931-243-3784
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Fax | 931-243-3785
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Provider Business Mailing Address
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Address Line | PO BOX 334
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City | CELINA
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State | TN
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Zip | 38551-0334
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Country | US
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Telephone | 931-243-3784
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Fax | 931-243-3785
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Authorized Official
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Title or Position | PHARMACIST
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Name | BYRON L REID
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Credential | RPH
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Telephone | 931-243-3784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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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 | 4868
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License Number State | TN
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