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General NPI Number Information
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NPI Number | 1467326363
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Entity Type | Organization
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Legal Business Name | GOOD SHEPHERD PHARMACY LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1550 N MOUNT JULIET RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3783
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Country | US
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Telephone | 615-288-4401
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Fax | 615-288-4367
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Provider Business Mailing Address
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Address Line | 100 FAULKNER LN
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City | MOUNT JULIET
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State | TN
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Zip | 37122-2926
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Country | US
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Telephone | 615-554-7140
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/ PHARMACY OWNER
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Name | MERVAT FAYEZ
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Credential | PHARMACIST
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Telephone | 615-600-5116
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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 |
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License Number State |
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