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General NPI Number Information
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NPI Number | 1407093230
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Entity Type | Organization
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Legal Business Name | MONARCH LTC INC.
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 1000 MONARCH POINTE
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City | GREENEVILLE
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State | TN
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Zip | 37745-4656
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Country | US
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Telephone | 423-630-7030
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Fax | 423-630-7033
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Provider Business Mailing Address
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Address Line | P.O. BOX 874
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City | GREENEVILLE
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State | TN
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Zip | 37744
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Country | US
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Telephone | 423-630-7030
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Fax | 423-630-7033
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Authorized Official
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Title or Position | OWNER-PRESIDENT
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Name | WILL GIDDINGS
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Credential |
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Telephone | 423-630-7030
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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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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 0000004617
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License Number State | TN
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