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General NPI Number Information
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NPI Number | 1629537212
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Entity Type | Organization
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Legal Business Name | HOMETOWN PHARMACY OF FRANKFORT EAST , PLLC
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 190 VERSAILLES RD
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City | FRANKFORT
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State | KY
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Zip | 40601-3272
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Country | US
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Telephone | 859-940-2950
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Fax | 502-699-2445
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Provider Business Mailing Address
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Address Line | 190 VERSAILLES RD
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City | FRANKFORT
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State | KY
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Zip | 40601-3272
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Country | US
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Telephone | 502-699-2690
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Fax | 502-699-2694
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Authorized Official
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Title or Position | OWNER , RPH
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Name | BIJALKUMAR J PATEL
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Credential |
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Telephone | 502-699-2690
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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 |
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License Number State |
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