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General NPI Number Information
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NPI Number | 1578467171
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Entity Type | Organization
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Legal Business Name | INIZIO PHARMACY LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 6511 GLENRIDGE PARK PL STE 7 OFFICE #1
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City | LOUISVILLE
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State | KY
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Zip | 40222
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Country | US
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Telephone | 855-329-7313
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Fax |
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Provider Business Mailing Address
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Address Line | 800 TOWNSHIP LINE RD SUITE 300 ATTN: COMPLIANCE
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City | YARDLEY
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State | PA
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Zip | 19067
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, PHARMACY
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Name | DR. JULIE ADAMS
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Credential | PHARMD
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Telephone | 267-472-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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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 | NULL
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