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General NPI Number Information
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NPI Number | 1356351902
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Entity Type | Organization
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Legal Business Name | C & M PHARMACY INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 717 N MILITARY AVE
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-2626
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Country | US
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Telephone | 931-762-7141
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Fax | 931-766-0086
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Provider Business Mailing Address
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Address Line | PO BOX 486
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-0486
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Country | US
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Telephone | 931-762-7141
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Fax | 931-766-0086
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM C. CROWDER
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Credential | SR
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Telephone | 931-762-7141
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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 | 0000000523
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License Number State | TN
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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 | 0000003547
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License Number State | TN
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