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General NPI Number Information
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NPI Number | 1235707340
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Entity Type | Organization
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Legal Business Name | MACS PHARMACY AT SOUTH PETERS
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 125 S PETERS RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-5202
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Country | US
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Telephone | 865-381-2500
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Fax | 855-571-3531
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Provider Business Mailing Address
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Address Line | 125 S PETERS RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-5202
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Country | US
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Telephone | 865-381-2500
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Fax | 855-571-3531
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD MATTHEW CRAWFORD
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Credential | PHARMD
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Telephone | 865-256-9845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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