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General NPI Number Information
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NPI Number | 1366917874
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Entity Type | Organization
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Legal Business Name | MOREHEAD PHARMACIST GROUP, INC.
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 12544 US ROUTE 60
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City | ASHLAND
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State | KY
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Zip | 41102-9687
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Country | US
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Telephone | 606-929-5301
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Fax | 606-929-5298
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Provider Business Mailing Address
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Address Line | 125 FOXGLOVE DR
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City | MOUNT STERLING
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State | KY
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Zip | 40353-9735
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Country | US
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Telephone | 606-929-5301
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Fax | 606-929-5298
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHERRY STEVENS
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Credential | CPHT
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Telephone | 606-929-5301
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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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