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General NPI Number Information
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NPI Number | 1376949362
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Entity Type | Organization
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Legal Business Name | PHARMACY CARE CENTER
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 101 TOWN AND COUNTRY LN STE 101
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City | HAZARD
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State | KY
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Zip | 41701-9524
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Country | US
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Telephone | 606-435-0460
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Fax | 606-435-0461
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Provider Business Mailing Address
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Address Line | 101 TOWN AND COUNTRY LN STE 101
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City | HAZARD
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State | KY
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Zip | 41701-9524
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Country | US
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Telephone | 606-435-0460
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Fax | 606-435-0461
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | ANTHONY HURT
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Credential |
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Telephone | 606-435-0460
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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 | P07662
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License Number State | KY
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