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General NPI Number Information
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NPI Number | 1346860095
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Entity Type | Organization
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Legal Business Name | DUPONT PHARMACY, LLC
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 4036 DUTCHMANS LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-4704
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Country | US
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Telephone | 502-897-6591
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Fax | 502-895-2781
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Provider Business Mailing Address
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Address Line | 4036 DUTCHMANS LN STE 2
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City | LOUISVILLE
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State | KY
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Zip | 40207-4704
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Country | US
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Telephone | 502-897-6591
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Fax | 502-895-2781
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Authorized Official
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Title or Position | OWNER
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Name | JAMES COREY STARK
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Credential | PHARMD
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Telephone | 502-897-6591
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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 |
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License Number State |
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