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General NPI Number Information
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NPI Number | 1144828724
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Entity Type | Organization
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Legal Business Name | PHARMACY CARE CENTER
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 10616 SOUTH KY HWY 15
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City | SCUDDY
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State | KY
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Zip | 41760
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Country | US
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Telephone | 606-476-2189
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741
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City | HAZARD
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State | KY
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Zip | 41702-0741
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Country | US
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Telephone | 606-476-2189
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Fax |
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | BENJAMIN WESLEY HUFF
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Credential | PHARM.D.
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Telephone | 606-435-0460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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