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General NPI Number Information
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NPI Number | 1578684833
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Entity Type | Organization
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Legal Business Name | BILLIE J GREENE DBA GREENES DISCOUNT PHARMACY
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 809 W 4TH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3812
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Country | US
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Telephone | 423-585-5187
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Fax |
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Provider Business Mailing Address
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Address Line | 809 WEST 4TH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814
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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 | OWNER
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Name | BILLIE GREENE
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Credential |
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Telephone | 423-585-5187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | C2900
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License Number State | TN
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