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General NPI Number Information
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NPI Number | 1629150404
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Entity Type | Organization
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Legal Business Name | CRAIN'S PHARMACY INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 251 S WASHINGTON ST
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City | RIPLEY
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State | TN
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Zip | 38063-1736
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Country | US
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Telephone | 731-635-2232
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Fax | 731-635-8939
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Provider Business Mailing Address
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Address Line | 251 S WASHINGTON ST
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City | RIPLEY
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State | TN
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Zip | 38063-1736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRES PHCST
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Name | SAMUEL WEAVER
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Credential |
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Telephone | 731-635-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 0000001086
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License Number State | TN
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