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General NPI Number Information
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NPI Number | 1275548877
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Entity Type | Organization
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Legal Business Name | UNITED APOTHECARY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 1645 S MAIN ST STE 102
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City | CROSSVILLE
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State | TN
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Zip | 38555-2908
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Country | US
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Telephone | 931-456-4564
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Fax | 931-456-4584
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Provider Business Mailing Address
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Address Line | PO BOX 5688
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City | OAK RIDGE
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State | TN
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Zip | 37831-5688
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Country | US
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Telephone | 931-456-4564
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Fax | 931-456-4584
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Authorized Official
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Title or Position | PIC PHCY MGR
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Name | RODNEY BURNEY
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Credential |
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Telephone | 931-456-4564
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 3985
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License Number State | TN
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