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General NPI Number Information
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NPI Number | 1356507180
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Entity Type | Organization
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Legal Business Name | PENDLETON PHARMACIST GROUP INC
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 45 KLEE WAY STE A
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City | FALMOUTH
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State | KY
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Zip | 41040-8510
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Country | US
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Telephone | 859-654-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 209 S MAIN CROSS ST
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-1203
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Country | US
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Telephone | 606-845-2101
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Fax | 606-849-2633
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Authorized Official
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Title or Position | PHARMACIST
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Name | BRETT RAMSEY
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Credential |
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Telephone | 859-654-3232
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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