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NPI 1497797286

NPI 1497797286 : T & T DRUG STORES, INC. : HENDERSON, KY

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General NPI Number Information
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    NPI Number           |    1497797286
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    Entity Type          |    Organization 
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    Legal Business Name  |    T & T DRUG STORES, INC. 
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Dates
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    Enumeration Date     |    06/13/2006
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    1331 CLAY ST 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42420
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    Country              |    US
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    Telephone            |    270-827-3503
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    Fax                  |    270-827-4934
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Provider Business Mailing Address
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    Address Line         |    1331 CLAY ST 
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    City                 |    HENDERSON
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    State                |    KY
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    Zip                  |    42420
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    Country              |    US
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    Telephone            |    270-827-3503
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    Fax                  |    270-827-4934
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |     JOHN D MARSHALL 
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    Credential           |    RPH
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    Telephone            |    270-827-3503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    P00333
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    P00333
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    License Number State |    KY
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