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General NPI Number Information
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NPI Number | 1356091078
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Entity Type | Organization
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Legal Business Name | PHARMBOY INVESTMENTS LLC
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1230 HIGH ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1517
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Country | US
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Telephone | 270-422-2422
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Fax | 270-422-3299
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Provider Business Mailing Address
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Address Line | 1230 HIGH ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1517
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Country | US
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Telephone | 270-422-2422
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Fax | 270-422-3299
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Authorized Official
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Title or Position | CPHT/PHARMACY MANAGER
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Name | TRACY MATTINGLY
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Credential |
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Telephone | 270-422-2422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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