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General NPI Number Information
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NPI Number | 1285759902
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Entity Type | Organization
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Legal Business Name | BLOUNTVILLE DRUG COMPANY INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3090 HWY 126
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City | BLOUNTVILLE
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State | TN
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Zip | 37617
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Country | US
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Telephone | 423-323-7711
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Fax | 423-323-2751
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Provider Business Mailing Address
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Address Line | 3090 HIGHWAY 126
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City | BLOUNTVILLE
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State | TN
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Zip | 37617-4727
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Country | US
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Telephone | 423-323-7711
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Fax | 423-323-2751
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Authorized Official
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Title or Position | DIC
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Name | DR. JANE F SNYDER
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Credential | PHD
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Telephone | 423-323-7711
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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 | 2019
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License Number State | TN
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