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General NPI Number Information
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NPI Number | 1619950615
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Entity Type | Organization
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Legal Business Name | DUNAWAY DRUG STORES, INC.
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 110 3RD ST
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City | HENDERSON
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State | KY
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Zip | 42420-2993
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Country | US
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Telephone | 270-826-6565
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Fax | 270-830-0083
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Provider Business Mailing Address
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Address Line | 110 3RD ST
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City | HENDERSON
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State | KY
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Zip | 42420-2993
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Country | US
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Telephone | 270-826-6565
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Fax | 270-830-0083
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST
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Name | MR. JAMES DUNAWAY
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Credential | R.PH.
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Telephone | 270-826-6565
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 846
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License Number State | KY
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