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General NPI Number Information
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NPI Number | 1184629362
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Entity Type | Organization
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Legal Business Name | BUCHHEIT DRUG CORPORATION
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 346 W CENTRAL AVE
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City | JAMESTOWN
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State | TN
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Zip | 38556-3407
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Country | US
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Telephone | 931-879-8133
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Fax | 931-879-9365
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | JAMESTOWN
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State | TN
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Zip | 38556-0610
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Country | US
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Telephone | 931-879-8133
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Fax | 931-879-9365
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Authorized Official
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Title or Position | OWNER - PHARMACIST
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Name | MRS. RAYELLA JO VAUGHN
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Credential | PHARM D
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Telephone | 931-879-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0000001962
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License Number State | TN
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