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NPI 1154402279

NPI 1154402279 : PRESCRIPTION CENTER, INC. : MORGANTOWN, KY

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General NPI Number Information
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    NPI Number           |    1154402279
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRESCRIPTION CENTER, INC. 
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Dates
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    Enumeration Date     |    10/17/2006
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    Last Update Date     |    03/01/2012
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Provider Practice Location Address
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    Address Line         |    211 S. MAIN STREET 
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    City                 |    MORGANTOWN
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    State                |    KY
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    Zip                  |    42261-1640
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    Country              |    US
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    Telephone            |    270-526-3332
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    Fax                  |    270-526-3996
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1640 
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    City                 |    MORGANTOWN
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    State                |    KY
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    Zip                  |    42261-1640
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    Country              |    US
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    Telephone            |    270-526-3332
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    Fax                  |    270-526-3996
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Authorized Official
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    Title or Position    |    SECRETARY, CO-OWNER
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    Name                 |    MRS. CINDY BEA WILKERSON 
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    Credential           |    RN
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    Telephone            |    270-526-3332
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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       |    P06869-KY
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    License Number State |    KY
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