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General NPI Number Information
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NPI Number | 1588834105
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Entity Type | Organization
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Legal Business Name | SHELDON'S EXPRESS PHARMACY INC.
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 843 FAIRVIEW AVENUE SUITE B-6
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City | BOWLING GREEN
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State | KY
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Zip | 42101-4914
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Country | US
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Telephone | 270-842-7254
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Fax | 270-842-7254
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Provider Business Mailing Address
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Address Line | 843 FAIRVIEW AVE STE B-6
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City | BOWLING GREEN
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State | KY
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Zip | 42101-4914
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Country | US
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Telephone | 270-842-7254
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Fax | 270-842-7254
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MRS. TERRI SHELDON
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Credential | RPH
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Telephone | 270-392-0822
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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 | P07243
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License Number State | KY
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