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General NPI Number Information
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NPI Number | 1124273230
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Entity Type | Organization
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Legal Business Name | ON SITE RX INC
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 620 E 11TH ST
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City | CHATTANOOGA
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State | TN
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Zip | 37403-3101
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Country | US
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Telephone | 423-266-1586
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Fax | 423-266-3314
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Provider Business Mailing Address
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Address Line | PO BOX 7036
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City | CHESTNUT MOUNTAIN
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State | GA
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Zip | 30502-0036
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Country | US
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Telephone | 770-532-1551
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Fax | 770-536-7519
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Authorized Official
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Title or Position | COORDINATOR OF PHARMACY OPERATIONS
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Name | PAM MCNEILLY
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Credential |
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Telephone | 770-532-1551
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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 | 0000004597
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License Number State | TN
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