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General NPI Number Information
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NPI Number | 1144502287
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Entity Type | Organization
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Legal Business Name | FAMILY DISCOUNT DRUGS
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 3603 CUMBERLAND AVE
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2613
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Country | US
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Telephone | 606-248-8900
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Fax | 606-248-8901
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Provider Business Mailing Address
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Address Line | 3603 CUMBERLAND AVE
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2613
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Country | US
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Telephone | 606-248-8900
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Fax | 606-248-8901
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | ROBERT SCOTT MARCUM
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Credential | PHARM-D
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Telephone | 606-248-8900
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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 | P07471
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License Number State | KY
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