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General NPI Number Information
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NPI Number | 1598015513
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Entity Type | Organization
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Legal Business Name | CALHOUN PRESCRIPTIONS, LLC
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 1100 RED BUD RD NE
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City | CALHOUN
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State | GA
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Zip | 30701-9236
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Country | US
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Telephone | 706-625-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 RED BUD RD NE
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City | CALHOUN
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State | GA
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Zip | 30701-9236
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Country | US
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Telephone | 706-629-1001
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | KAREN BRADEN
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Credential |
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Telephone | 678-986-1009
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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 | GA
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