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General NPI Number Information
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NPI Number | 1316968308
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Entity Type | Organization
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Legal Business Name | FLIPPIN DRUG COMPANY, INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3107 HIGHLAND ST
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City | MILAN
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State | TN
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Zip | 38358-3113
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Country | US
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Telephone | 731-686-7467
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Fax | 731-686-9530
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Provider Business Mailing Address
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Address Line | 3107 HIGHLAND ST
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City | MILAN
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State | TN
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Zip | 38358-3113
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Country | US
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Telephone | 731-686-7467
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Fax | 731-686-9530
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. JACK T CUNNINGHAM
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Credential | DPH
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Telephone | 731-686-7467
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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 | 680
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License Number State | TN
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