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General NPI Number Information
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NPI Number | 1508859414
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Entity Type | Organization
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Legal Business Name | A & GRX INC
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 939 VETERANS DR SUITE B
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City | NORTH VERNON
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State | IN
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Zip | 47265-2602
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Country | US
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Telephone | 812-352-9700
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Fax | 812-352-9702
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Provider Business Mailing Address
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Address Line | 939 VETERANS DR SUITE B
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City | NORTH VERNON
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State | IN
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Zip | 47265-2602
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Country | US
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Telephone | 812-352-9700
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Fax | 812-352-9702
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | GAIL M MINNICK
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Credential | R.PH
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Telephone | 812-352-9700
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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 | 60005749
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License Number State | IN
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