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NPI 1407498546

NPI 1407498546 : ANDREWS PACKAGING PHARMACY, INC : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1407498546
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDREWS PACKAGING PHARMACY, INC 
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Dates
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    Enumeration Date     |    10/10/2019
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    Last Update Date     |    02/14/2023
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Provider Practice Location Address
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    Address Line         |    10101 TAYLORSVILLE RD STE 103 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40299-3663
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    Country              |    US
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    Telephone            |    502-901-5220
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    Fax                  |    502-618-3585
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Provider Business Mailing Address
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    Address Line         |    10101 TAYLORSVILLE RD STE 103 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40299-3663
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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    |    PRESIDENT
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    Name                 |     MATTHEW ROBERT ANDREWS 
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    Credential           |    PHARM. D.
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    Telephone            |    502-407-7465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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