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General NPI Number Information
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NPI Number | 1124198205
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Entity Type | Organization
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Legal Business Name | DISNEY PHARMACY SERVICES INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/27/2015
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Provider Practice Location Address
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Address Line | 2141 W EMORY RD
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City | POWELL
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State | TN
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Zip | 37849-3704
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Country | US
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Telephone | 865-947-1581
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Fax | 865-947-4353
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Provider Business Mailing Address
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Address Line | 2141 W EMORY RD
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City | POWELL
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State | TN
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Zip | 37849-3704
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Country | US
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Telephone | 865-947-1581
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Fax | 865-947-4353
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Authorized Official
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Title or Position | OWNER,PIC,AO
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Name | DWIGHT DISNEY
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Credential | RPH
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Telephone | 865-947-1581
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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 | 1945
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License Number State | TN
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