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General NPI Number Information
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NPI Number | 1588211080
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Entity Type | Organization
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Legal Business Name | POOLES PHARMACY CARE INC
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 8180 US HIGHWAY 60 W
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City | LEWISPORT
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State | KY
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Zip | 42351-7081
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Country | US
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Telephone | 270-295-3131
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Fax | 270-295-3132
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Provider Business Mailing Address
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Address Line | 8180 US HIGHWAY 60 W
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City | LEWISPORT
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State | KY
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Zip | 42351-7081
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Country | US
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Telephone | 270-295-3131
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Fax | 270-295-3132
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Authorized Official
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Title or Position | SEC/TREAS
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Name | LISA POOLE
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Credential |
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Telephone | 270-525-8517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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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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