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General NPI Number Information
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NPI Number | 1194032144
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Entity Type | Organization
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Legal Business Name | CROWLEYS PHARMACY INC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 45 PARK AVE
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City | MONTICELLO
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State | KY
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Zip | 42633
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Country | US
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Telephone | 606-340-3000
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Fax | 606-340-3009
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Provider Business Mailing Address
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Address Line | 45 PARK AVE.
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City | MONTICELLO
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State | KY
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Zip | 42633
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Country | US
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Telephone | 606-340-3000
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Fax | 606-340-3009
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Authorized Official
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Title or Position | PHARMACY TECH/MANAGER
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Name | FELICIA FLYNN
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Credential |
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Telephone | 606-340-3000
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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 | P07412
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License Number State | KY
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