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General NPI Number Information
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NPI Number | 1194734053
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Entity Type | Organization
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Legal Business Name | PHARMACY 20, INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 82 SPRUCE STREET BUSINESS CENTER SUITE 120
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City | MURRAY
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State | KY
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Zip | 42071
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Country | US
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Telephone | 270-767-1520
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Fax | 866-233-9220
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Provider Business Mailing Address
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Address Line | 82 SPRUCE STREET BUSINESS CENTER SUITE 120
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City | MURRAY
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State | KY
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Zip | 42071
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Country | US
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Telephone | 270-767-1520
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Fax | 866-233-9220
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIRK PARISH
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Credential |
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Telephone | 870-772-0202
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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 | P06829
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License Number State | KY
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