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General NPI Number Information
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NPI Number | 1609273630
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Entity Type | Organization
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Legal Business Name | LTC PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 3915 ADKISSON DR NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2821
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Country | US
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Telephone | 423-473-5982
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Fax |
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Provider Business Mailing Address
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Address Line | 3915 ADKISSON DR. NW
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City | CLEVELAND
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State | TN
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Zip | 37311
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Country | US
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Telephone | 423-473-5982
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG SCHEEL
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Credential |
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Telephone | 423-473-5982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 5495
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License Number State | TN
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