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General NPI Number Information
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NPI Number | 1134081342
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Entity Type | Organization
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Legal Business Name | HUBBARD DRUG, LLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1668 S HIGHWAY 421
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City | MANCHESTER
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State | KY
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Zip | 40962-7514
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Country | US
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Telephone | 606-599-0099
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Fax | 606-599-0089
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Provider Business Mailing Address
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Address Line | 1668 S HIGHWAY 421
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City | MANCHESTER
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State | KY
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Zip | 40962-7514
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Country | US
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Telephone | 606-599-0099
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Fax | 606-599-0089
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Authorized Official
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Title or Position | PHARMACIST
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Name | JUSTIN SMITH
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Credential | PHARM.D.
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Telephone | 606-599-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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