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General NPI Number Information
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NPI Number | 1083759963
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Entity Type | Organization
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Legal Business Name | PHIPPS PHARMACY INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 211 WEST MAIN STREET
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City | WAVERLY
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State | TN
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Zip | 37185-1510
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Country | US
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Telephone | 931-296-3703
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Fax | 931-296-3593
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Provider Business Mailing Address
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Address Line | 15385 HIGHLAND DR
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City | MC KENZIE
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State | TN
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Zip | 38201-2501
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Country | US
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Telephone | 931-296-3703
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Fax | 931-296-3593
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Authorized Official
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Title or Position | OWNER
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Name | JERRY ROBERT PHIPPS
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Credential |
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Telephone | 731-352-0820
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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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