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General NPI Number Information
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NPI Number | 1316261324
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Entity Type | Organization
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Legal Business Name | PHARMACY EXPRESS
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 1706 BUFFALO TRL
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City | MORRISTOWN
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State | TN
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Zip | 37814-4250
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Country | US
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Telephone | 423-839-2401
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Fax | 423-839-2404
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Provider Business Mailing Address
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Address Line | PO BOX 1025
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City | MORRISTOWN
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State | TN
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Zip | 37816-1025
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Country | US
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Telephone | 423-839-2401
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DANIELLE TAYLOR
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Credential | PHARMD
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Telephone | 423-839-2401
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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 | 4744
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License Number State | TN
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