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General NPI Number Information
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NPI Number | 1609206150
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Entity Type | Organization
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Legal Business Name | OLDHAM DRUGS, INCORPORATED
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 1198 NEW HIGHWAY 52 E SUITE 100
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City | WESTMORELAND
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State | TN
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Zip | 37186
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Country | US
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Telephone | 615-644-3784
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Fax | 615-644-7455
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Provider Business Mailing Address
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Address Line | 1198 NEW HIGHWAY 52 E SUITE 100
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City | WESTMORELAND
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State | TN
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Zip | 37186
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Country | US
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Telephone | 615-644-3784
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Fax | 615-644-7455
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Authorized Official
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Title or Position | OWNER
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Name | LANCE E OLDHAM
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Credential | PHARMD
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Telephone | 615-644-3784
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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 | 5233
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License Number State | TN
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