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General NPI Number Information
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NPI Number | 1548810757
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Entity Type | Organization
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Legal Business Name | CHEWY PHARMACY LLC
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 11403 BLUEGRASS PKWY STE 650
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City | LOUISVILLE
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State | KY
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Zip | 40299-2398
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Country | US
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Telephone | 877-977-3879
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Fax |
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Provider Business Mailing Address
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Address Line | 11403 BLUEGRASS PKWY STE 650
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City | LOUISVILLE
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State | KY
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Zip | 40299-2398
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Country | US
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Telephone | 502-267-1131
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DR. JUSTIN MILLS
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Credential | PHARMD
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Telephone | 502-215-6911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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