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General NPI Number Information
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NPI Number | 1295757219
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Entity Type | Organization
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Legal Business Name | KIMSEY PHARMACY LLC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 125 FIVE POINTS ROAD
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City | DUCKTOWN
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State | TN
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Zip | 37326-0039
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Country | US
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Telephone | 423-496-5831
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Fax | 423-496-7111
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Provider Business Mailing Address
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Address Line | PO BOX 39
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City | DUCKTOWN
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State | TN
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Zip | 37326-0039
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Country | US
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Telephone | 423-496-5831
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Fax | 423-496-7111
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER PATTERSON
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Credential | PHARMD
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Telephone | 423-496-5241
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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 | 332
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License Number State | TN
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