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General NPI Number Information
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NPI Number | 1295816791
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Entity Type | Organization
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Legal Business Name | LEXINGTON DISCOUNT DRUGS, LLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 148 W CHURCH ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2069
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Country | US
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Telephone | 731-968-4201
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Fax | 731-967-5222
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Provider Business Mailing Address
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Address Line | 148 W CHURCH ST
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City | LEXINGTON
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State | TN
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Zip | 38351-2069
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Country | US
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Telephone | 731-968-4201
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Fax | 731-967-5222
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Authorized Official
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Title or Position | OWNER/MANAGING EMPLOYEE
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Name | MRS. VIRGINIA DEANNE PACE
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Credential | PHARMD
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Telephone | 731-968-4201
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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 | 2333
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License Number State | TN
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