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General NPI Number Information
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NPI Number | 1376469700
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Entity Type | Organization
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Legal Business Name | SUBPART A WESTERN PHARMACY SOLUTIONS
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1180 ELIJAH CREEK RD UNIT A
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City | HEBRON
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State | KY
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Zip | 41048-8219
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Country | US
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Telephone | 855-560-8551
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 ELIJAH CREEK RD UNIT A
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City | HEBRON
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State | KY
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Zip | 41048-8219
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE
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Name | HALEY HANLE
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Credential | RPH
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Telephone | 855-560-8551
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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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