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General NPI Number Information
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NPI Number | 1558966093
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Entity Type | Organization
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Legal Business Name | ANAYA LLC
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 13332 SHELBYVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40223-3936
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Country | US
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Telephone | 502-281-4900
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Fax | 502-281-4901
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Provider Business Mailing Address
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Address Line | 13332 SHELBYVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40223-3936
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Country | US
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Telephone | 502-281-4900
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Fax | 502-281-4901
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | KRISHMA R PATEL
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Credential |
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Telephone | 502-281-4900
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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 |
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License Number State |
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