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General NPI Number Information
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NPI Number | 1164026050
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Entity Type | Organization
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Legal Business Name | BEDCOVET PHARMACY
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 710 MADISON ST
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City | SHELBYVILLE
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State | TN
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Zip | 37160-3519
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Country | US
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Telephone | 931-684-7400
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Fax | 850-921-5389
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Provider Business Mailing Address
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Address Line | 710 MADISON ST
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City | SHELBYVILLE
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State | TN
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Zip | 37160-3519
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Country | US
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Telephone | 931-684-7400
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Fax | 850-921-5389
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Authorized Official
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Title or Position | VP
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Name | DAWN GOULDING
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Credential |
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Telephone | 631-459-6514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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