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General NPI Number Information
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NPI Number | 1447663588
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Entity Type | Organization
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Legal Business Name | THE APOTHECARY P.S.C
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 116 MERIDIAN WAY STE 2
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City | RICHMOND
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State | KY
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Zip | 40475-2876
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Country | US
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Telephone | 859-623-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 153 SAINT MILDREDS CT
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City | DANVILLE
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State | KY
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Zip | 40422-1263
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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 | OWNER/PIC
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Name | WHITNEY MCWILLIAMS
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Credential |
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Telephone | 859-583-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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