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General NPI Number Information
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NPI Number | 1376756205
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Entity Type | Organization
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Legal Business Name | SMOKY MOUNTAIN PHARMACY
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 213 FRKS OF RIV PKWY # B
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3468
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Country | US
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Telephone | 865-774-1355
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Fax | 865-774-1371
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Provider Business Mailing Address
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Address Line | 213 FRKS OF RIV PKWY # B
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3468
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Country | US
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Telephone | 865-774-1355
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Fax | 865-774-1371
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Authorized Official
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Title or Position | OWNERPHARMACIST
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Name | DR. GEORGE EARL MILLER
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Credential | DR PHARMACY
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Telephone | 865-453-9885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3923
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License Number State | TN
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