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General NPI Number Information
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NPI Number | 1619063344
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Entity Type | Organization
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Legal Business Name | MEDICINE STOP PHARMACY, INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 1339 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-1715
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Country | US
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Telephone | 859-987-4023
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Fax | 859-987-0197
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Provider Business Mailing Address
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Address Line | 1339 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-1715
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Country | US
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Telephone | 859-987-4023
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Fax | 859-987-0197
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Authorized Official
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Title or Position | OWNER
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Name | MR. WALTER SHARSHON
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Credential | R.PH.
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Telephone | 305-803-1693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PO7261
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License Number State | KY
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