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General NPI Number Information
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NPI Number | 1659359826
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Entity Type | Organization
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Legal Business Name | SOMERSET PHARMACY INC
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 101 S MAIN ST
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City | SOMERSET
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State | KY
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Zip | 42501-2005
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Country | US
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Telephone | 606-679-1571
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Fax | 606-677-6845
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Provider Business Mailing Address
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Address Line | 101 S MAIN ST
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City | SOMERSET
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State | KY
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Zip | 42501-2005
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Country | US
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Telephone | 606-679-1571
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Fax | 606-677-6845
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN B SIMKINS
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Credential | RPH
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Telephone | 606-679-1571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PO6577
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License Number State | KY
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