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General NPI Number Information
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NPI Number | 1114563319
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Entity Type | Organization
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Legal Business Name | INSPIRE RX PHARMACY LLC
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 950 N MULBERRY ST STE 100A
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-3629
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Country | US
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Telephone | 270-769-0369
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Fax |
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Provider Business Mailing Address
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Address Line | 950 N MULBERRY ST STE 100A
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-3629
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | NATHANIEL ADAMS
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Credential | PHARMD
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Telephone | 270-370-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 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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