{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "OLDHAM DRUGS, INCORPORATED",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "1198 NEW HIGHWAY 52 E",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "WESTMORELAND",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37186",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-644-3784",
"MailingAddressFaxNumber": "615-644-7455",
"FirstLinePracticeLocationAddress": "1198 NEW HIGHWAY 52 E",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "WESTMORELAND",
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"PracticeLocationAddressTelephoneNumber": "615-644-3784",
"PracticeLocationAddressFaxNumber": "615-644-7455",
"EnumerationDate": "11/20/2013",
"LastUpdateDate": "11/04/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLDHAM",
"AuthorizedOfficialFirstName": "LANCE",
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"AuthorizedOfficialCredential": "PHARMD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "5233",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}