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General NPI Number Information
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NPI Number | 1174506059
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Entity Type | Organization
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Legal Business Name | METRO MEDICAL PHARMACY INC.
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 1911 CHURCH ST
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City | NASHVILLE
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State | TN
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Zip | 37203-2203
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Country | US
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Telephone | 615-329-3150
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Fax | 615-329-1461
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Provider Business Mailing Address
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Address Line | 200 CUMBERLAND BND
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City | NASHVILLE
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State | TN
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Zip | 37228-1804
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Country | US
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Telephone | 615-312-9880
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Fax | 615-320-5418
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. FLORIS H TOMPKINS III
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Credential |
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Telephone | 615-312-9880
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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 | 0000000983
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 412
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License Number State | TN
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