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General NPI Number Information
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NPI Number | 1376579003
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Entity Type | Organization
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Legal Business Name | FRANKLIN COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 44 N 1ST E
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City | PRESTON
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State | ID
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Zip | 83263-1326
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Country | US
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Telephone | 208-852-4129
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Fax | 208-852-3812
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Provider Business Mailing Address
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Address Line | 44 N 1ST E
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City | PRESTON
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State | ID
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Zip | 83263-1326
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Country | US
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Telephone | 208-852-4129
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Fax | 208-852-3812
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | JASON BAILEY
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Credential | RPH
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Telephone | 208-852-4129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 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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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 491HP
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License Number State | ID
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