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General NPI Number Information
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NPI Number | 1467873570
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Entity Type | Organization
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Legal Business Name | CENTERSTONE PHARMACY
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 1921 RANSOM PL
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City | NASHVILLE
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State | TN
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Zip | 37217-3841
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Country | US
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Telephone | 615-279-6721
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 RANSOM PL
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City | NASHVILLE
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State | TN
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Zip | 37217-3841
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Country | US
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Telephone | 615-279-6721
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | KEITH SHELLY
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Credential |
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Telephone | 615-294-4857
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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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