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General NPI Number Information
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NPI Number | 1467331496
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Entity Type | Organization
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Legal Business Name | CLARK DRUGS INC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 500 MAIN ST
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City | MUNFORDVILLE
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State | KY
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Zip | 42765
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Country | US
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Telephone | 270-537-5094
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Fax | 270-524-5891
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-0127
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Country | US
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Telephone | 270-537-5094
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Fax | 270-524-5891
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Authorized Official
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Title or Position | PRESIDENT/OWNER/PHARMACIST
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Name | MR. LONUS ALAN FLENER
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Credential | RPH
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Telephone | 270-524-3669
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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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