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General NPI Number Information
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NPI Number | 1528073111
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Entity Type | Organization
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Legal Business Name | CITIZENS DRUG INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 13380 PHELPS 632 RD
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City | PHELPS
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State | KY
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Zip | 41553
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Country | US
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Telephone | 606-456-3446
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Fax | 606-456-1943
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Provider Business Mailing Address
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Address Line | PO BOX 499
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City | PHELPS
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State | KY
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Zip | 41553-0499
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Country | US
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Telephone | 606-456-3446
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Fax | 606-456-1943
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Authorized Official
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Title or Position | PRESIDENT
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Name | BILLY ROWE
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Credential |
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Telephone | 606-433-0555
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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 | P01543
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License Number State | KY
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