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General NPI Number Information
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NPI Number | 1467993147
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Entity Type | Organization
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Legal Business Name | DIXON DRUG STORE
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1335 US HIGHWAY 41A S
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City | DIXON
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State | KY
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Zip | 42409-9447
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Country | US
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Telephone | 270-213-2028
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Fax | 270-213-2032
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | DIXON
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State | KY
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Zip | 42409-0008
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Country | US
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Telephone | 270-213-2028
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Fax | 270-213-2032
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Authorized Official
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Title or Position | OWNER, PIC, AO
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Name | WHITNEY WRIGHT
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Credential | RPH
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Telephone | 270-664-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | P07834
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License Number State | KY
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